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

Individual provider Clinical Social Worker · NPI 1043419617

Kimberly M Smith, LICSW is a Clinical Social Worker in Warwick, Rhode Island. Qualified in 1998, 28 years ago. Practices with Affinity Physicians LLC, a 734-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Massachusetts and Rhode Island.

Years since qualifying
28
Licensed in
MA, RI
In the registry since
2007
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

215 Toll Gate Rd Ste 104
Warwick, RI 02886-4463
Phone: (401) 921-7290
Fax: (401) 921-6194
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 455 Toll Gate Rd, Warwick, RI 02886-2759 — (401) 737-7000

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence ISW01888 (RI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 110679 (MA)

Record details

NPI number1043419617
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 13, 2007
Last updated in NPPESAugust 30, 2024
Certification dateAugust 30, 2024
Mailing address455 Toll Gate Rd, Warwick, RI 02886-2759

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Affinity Physicians Llc. — 734 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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