Healthcare Provider Details

I. General information

NPI: 1922744267
Provider Name (Legal Business Name): ABBY ROSE SMARGON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/10/2022
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

108 W MAIN ST
NORTON MA
02766-1248
US

IV. Provider business mailing address

402 MORTON ST
STOUGHTON MA
02072-3243
US

V. Phone/Fax

Practice location:
  • Phone: 508-285-9400
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLICSW1143792
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: