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NPI Code Detail

MEDICARE: KENDRA SMITH

MEDICARE: KENDRA SMITH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCSW229639MA

General Provider Information

NPI Number : 1538999255
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDRA SMITH
Provider Business Mailing Address
First Line : 131 W MAIN ST
Second Line :
City : ORANGE
State : MA
Zip : 01364-1150
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 131 W MAIN ST
Second Line :
City : ORANGE
State : MA
Zip : 01364-1150
Country : US
Telephone Number : 978-544-2148
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2024
Last Update Date : 06/19/2026

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Directions to “ KENDRA SMITH ” Practice Location

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