Individual provider Active NPI

Maggie Marie Smith

  • Clinical Social Worker
  • Revere, MA
National Provider Identifier
1982266995
Registry record updated Dec 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11694 Issued in CT
Practice address
280 Beach St
Revere, MA 02151-3143
Phone
(781) 289-5057
NPI assigned
Jul 1, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 11694 CT Primary
Clinical Social Worker 1041C0700X LICSW1140324 MA

Addresses

Primary practice location

280 Beach St
Revere, MA 02151-3143

Mailing address

1 Cellini PL
West Haven, CT 06516-1666
Phone (203) 932-6481

Other practice location 1

126 Colony St
Stratford, CT 06615-5728
Phone (203) 824-7701

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220516000082 CT Practitioner - Clinical Social Worker 4486031366 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.42 of 100Reported as group
Quality
83.36
Promoting interoperability
100
Improvement activities
40
Cost
75.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW1140324MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center Inc Clinical CurrentSince Mar 1, 2024 Accepting new patients
Behavioral Health and Wellness Solutions of CT, LLC Clinical CurrentSince Apr 1, 2022 Accepting new patients
J. Cayo Counseling, LLC CurrentSince Jun 26, 2026 Accepting new patients
Community Health Center Inc CurrentSince Mar 1, 2024 Accepting new patients
Wheeler Clinic Past Accepting new patients

Locations

3013 Dixwell Ave
Hamden, CT 06518
Phone (203) 399-6071

3013 Dixwell Ave
Ste 1
Hamden, CT 06518
Phone (203) 399-6017

134 State St
Meriden, CT 06450
Phone (203) 237-2229

Interoperability endpoints

  • Direct secure messaging: maggie.smith.p1@direct.wheelerclinic.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764720000000",
    "number": "1982266995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 CELLINI PL",
            "city": "WEST HAVEN",
            "state": "CT",
            "postal_code": "065161666",
            "telephone_number": "203-932-6481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 BEACH ST",
            "city": "REVERE",
            "state": "MA",
            "postal_code": "021513143",
            "telephone_number": "781-289-5057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "126 COLONY ST",
            "address_purpose": "LOCATION",
            "city": "Stratford",
            "state": "CT",
            "postal_code": "066155728",
            "country_code": "US",
            "telephone_number": "203-824-7701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MAGGIE",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2025-12-03",
        "certification_date": "2025-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "11694",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1140324",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Revere, MA

Sources for this page

Verify at the official NPI Registry.