Healthcare Provider Details

I. General information

NPI: 1518770452
Provider Name (Legal Business Name): SAFFI WALKER-SMITH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/27/2025
Last Update Date: 01/27/2025
Certification Date: 01/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

324 CLARK ST
WORCESTER MA
01606-1214
US

IV. Provider business mailing address

65 CHARLOTTE ST
WORCESTER MA
01610-3450
US

V. Phone/Fax

Practice location:
  • Phone: 508-521-2200
  • Fax:
Mailing address:
  • Phone: 978-992-6921
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: