MR. WALTER JOHN SMITH LADC 1 NPI 1972736338

NPI Information

NPI: 1972736338
Provider Name: MR. WALTER JOHN SMITH, LADC 1
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
435 WARREN ST
ROXBURY, MA
ZIP 02119
Phone: (617) 541-3670
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MR. Walter John Smith, LADC 1 is an addiction (substance use disorder) counselor in Roxbury, MA. MR. Walter John Smith, LADC 1 NPI is 1972736338. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

435 WARREN ST
ROXBURY, MA
ZIP 02119-833
Phone: (617) 541-3670

The enumeration date for this NPI number is 9/1/2009 and was last updated on 9/1/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	1930	MASSACHUSETTS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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