Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Alba D Perez Smith, LICSW

Individual provider Clinical Social Worker · NPI 1104597624

Alba D Perez Smith, LICSW is a Clinical Social Worker in Providence, Rhode Island. Qualified in 2021, 5 years ago. Licensed in Massachusetts and Rhode Island.

Years since qualifying
5
Licensed in
MA, RI
In the registry since
2021
Specialties on file
2
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

383 W Fountain St
Providence, RI 02903-3515
Phone: (401) 400-1863
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW04393 (RI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 1140765 (MA)

Record details

NPI number1104597624
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedSeptember 23, 2021
Last updated in NPPESSeptember 22, 2025
Certification dateSeptember 22, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Providence