Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Braetan Smith, LICSW

Individual provider Counselor · NPI 1417472713

Braetan Smith, LICSW is a Counselor in Boston, Massachusetts. Licensed in Massachusetts. Registered with an NPI since 2017.

Licensed in
MA
In the registry since
2017
Specialties on file
3
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

10 Park Plz
Boston, MA 02116-3933
Phone: (617) 222-5381
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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 LICSW128519 (MA)
Counselor Taxonomy 101Y00000X
Social Worker Taxonomy 104100000X · Licence 000227778 (MA)

Record details

NPI number1417472713
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedAugust 8, 2017
Last updated in NPPESOctober 15, 2024
Certification dateOctober 15, 2024
Mailing address12 Bailey St, Everett, MA 02149-4402

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