Blair E Smith, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1023029 Issued in MA

Practice address

100 Cummings Center Suite 456J
Beverly, MA 01915

Phone

(978) 921-4000

Fax

(978) 921-7530

NPI assigned

Aug 5, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1821474578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 MUGFORD ST",
            "city": "MARBLEHEAD",
            "state": "MA",
            "postal_code": "01945",
            "telephone_number": "978-835-4022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CUMMINGS CENTER SUITE 456J",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "01915",
            "telephone_number": "978-921-4000",
            "fax_number": "978-921-7530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "BLAIR",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-05",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1023029",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mikaela Sliva, APRN
• David Frederick Smail Jr., MD
• Abigail Smith
• Alyssa Nicole Smith
• Barbara Lynn Smith, DVM, MS, PHD
• Bradford Marshall Smith, PH.D.
• Hillary Smith, LCSW
• Matthew Smith, DPT
• Nicole Ann Smith, RN, MS, WHNP-BC
• Sheri Smith

• Clinical Social Worker in Beverly, MA
• Providers in Beverly, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.