James Brian Smith is a Clinical in Rochester, New York. James Brian Smith practices all healthcare services and medical treatments related to Clinical. The NPI Number for James Brian Smith is 1174706105. The last update date is 2022-10-17.
James Brian Smith's current location address is 100 Pinewild Dr Ste 2a, Rochester, New York. You can contact this provider via phone number 5853686715 and fax number 5853686767. The mailing address for James Brian Smith is 100 Pinewild Dr Ste 2a, Rochester, New York. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Brian Smith |
|---|---|
| Address | 100 Pinewild Dr Ste 2a, Rochester, New York |
| Phone Number | 5853686715 |
| Fax Number | 5853686767 |
| Sole Proprietor | N |
| Credentials | L.C.S.W. |
NPI Number Detail
| NPI Number | 1174706105 |
|---|---|
| Provider Enumeration Date | 2007-12-13 |
| Last Updated Date | 2022-10-17 |
Provider Mailing Address Detail
| Address | 100 Pinewild Dr Ste 2a |
|---|---|
| City | Rochester |
| State | New York (NY) |
| Post Code | 146064200 |
| Phone Number | 5853686715 |
| Fax Number | 5853686767 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 78454 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1420800 | NY | -- |
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What is the James Brian Smith's unique identification number?
The James Brian Smith has been assigned the NPI (National Provider Identifier) Number 1174706105 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the James Brian Smith located?
The James Brian Smith is located at 100 Pinewild Dr Ste 2A, Rochester, NY 146064200.
What is the James Brian Smith's specialty and taxonomy code?
The James Brian Smith's specialty is Clinical, and the corresponding taxonomy code is 1041C0700X.
On what date did the James Brian Smith receive the assignment of its 1174706105 from the Centers for Medicare & Medicaid Services?
The James Brian Smith was issued its 1174706105 by the Centers for Medicare & Medicaid Services on 2007-12-13.
As of what date were the James Brian Smith's details last updated?
The information pertaining to the James Brian Smith, including its address, specialty, and other details, was most recently updated on 2022-10-17.
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