Doctor Name: | MS. ALEXANDRA CAMPBELL SMITH |
NPI Number: | 1225386204 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 218109 |
Business Practice Address: | 775 E 4th St Apt. #2 South Boston, MA - 021273259 |
Business Phone Number: | 3157273290 |
Business Fax Number: | |
Mailing Address: | 775 E 4th St, Apt. #2 SOUTH BOSTON |
State: | MA |
Postal Code: | 021273259 |
Phone Number: | 3157273290 |
Fax Number: | |
NPI Enumeration Date: | 08/22/2012 |
NPI Last Update Date: | 08/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 218109 |
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 |