Doctor Name: | MRS. KIMBERLY ANN SMITH-MCCUE |
NPI Number: | 1124122239 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LICSW |
License Number: | 1031562 |
Business Practice Address: | 533 Main St Suite #5 Melrose, MA - 02176 |
Business Phone Number: | 6177978141 |
Business Fax Number: | 7816650006 |
Mailing Address: | 533 Main St, Suite #5 MELROSE |
State: | MA |
Postal Code: | 02176 |
Phone Number: | 6177978141 |
Fax Number: | 7816650006 |
NPI Enumeration Date: | 09/11/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1031562 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |