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

Kristen Michelle Smith, LICSW

Individual provider Clinical Social Worker · NPI 1013204767

Kristen Michelle Smith, LICSW is a Clinical Social Worker in Boston, Massachusetts. Qualified in 2011, 15 years ago. Practices with Southcoast Physicians Group Inc, a 872-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Massachusetts.

Years since qualifying
15
Licensed in
MA
In the registry since
2011
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

1 Boston Medical Ctr Pl
Boston, MA 02118-2908
Phone: (617) 414-5245
Fax: (617) 414-5520
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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 121364 (MA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 217194 (MA)

Record details

NPI number1013204767
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedJuly 1, 2011
Last updated in NPPESApril 10, 2024
Certification dateApril 10, 2024

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Southcoast Physicians Group Inc — 872 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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