Smith, Amasa
Smith, Amasa is an individual health care provider with primary practice located at 121 North Street #405, Hingham MA 02043-9970. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Smith, Amasa can be contacted via phone (617) 807-0077.Contact Information
Primary practice address
121 North Street #405
Hingham MA 02043-9970
Phone: (617) 807-0077
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 122577 | Massachusetts |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 09925111 | Colorado |
Profile Details
| NPI number | 1912545799 |
|---|---|
| LBN Legal business name | Smith, Amasa |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 12th, 2019 |
| Last updated | Dec 4th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912545799 | NPPES |
| Massachusetts | Other | 122577 | LICENSED CLINICAL SOCIAL WORKER |
| Massachusetts | Other | 09925111 | LICENSED CLINICAL SOCIAL WORKER |
| Massachusetts | Other | ISW03251 | LICENSED CLINICAL SOCIAL WORKER |
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