KRISTEN MICHELLE SMITH (LICSW) – Clinical Social Worker, NPI 1013204767

KRISTEN MICHELLE SMITH (LICSW) is a healthcare provider. based in Fall river, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 217194 (MA). The NPI Number for KRISTEN MICHELLE SMITH (LICSW) is 1013204767

Main info

Female
15 Years Of Experience
Accepts Medicare Assignment
Name
KRISTEN MICHELLE SMITH (LICSW)
NPI
1013204767
Phone
(508) 676-0870
Address
120 MIDDLESEX ST # 3
Enumeration Date
1 July 2011
Last Update Date
10 April 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5089735919
Graduation Year
2011 (15 years ago)
PAC ID
0042627366
Group Practice PAC ID
0749171957
Professional Enrollment ID
I20210401000908
Address ID
MA027403464NE101XXSTXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:14State licenses:2Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

Provider Addresses for KRISTEN MICHELLE SMITH (LICSW)

  • 120 MIDDLESEX ST # 3

    FALL RIVER, MA 027233723

    Phone: (508) 676-0870

    Type: Mailing

  • 1563 N MAIN ST

    FALL RIVER, MA 027202983

    Phone: (508) 672-3619

    Type: Location

  • 960 MASSACHUSETTS AVE

    FL 2

    BOSTON, MA 02118

    Phone:

    Type: Mailing

  • 1 BOSTON MEDICAL CTR PL

    BOSTON, MA 021182908

    Phone: (617) 414-5245

    Fax: (617) 414-5520

    Type: Location

  • 874 PURCHASE ST

    NEW BEDFORD, MA 027406232

    Phone: (508) 992-6553

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-04-01

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210401000908IClinical Social WorkerMATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90791Psychiatric diagnostic evaluation3130$0
90832Psychotherapy, 30 minutes1413$0
90785Psychiatric services complicated by communication factor1312$0
View full utilization report →

Insurance plans in this area (ZIP 02723)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749171957View full group profile
NameSpecialtyState
Nurse PractitionerRI
Pain Management, AnesthesiologyMA
Certified Registered Nurse Anesthetist (Crna)MA
Hospitalist, Internal MedicineMA
Physician AssistantMA
H O S P I T A L I S TMA
Certified Registered Nurse Anesthetist (Crna)RI
Clinical Social WorkerMA
A N E S T H E S I O L O G YMA
-MA

Reviews

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Frequently asked questions

What is the registry number for KRISTEN MICHELLE SMITH (LICSW)?
The registry entry for KRISTEN MICHELLE SMITH (LICSW) shows NPI 1013204767.
Should I treat KRISTEN MICHELLE SMITH (LICSW) as an active provider?
Patients and plans typically see KRISTEN MICHELLE SMITH (LICSW) as active in the national extract.
What type of care does KRISTEN MICHELLE SMITH (LICSW) provide?
KRISTEN MICHELLE SMITH (LICSW)'s profile centers on Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What geographic area is tied to KRISTEN MICHELLE SMITH (LICSW)?
KRISTEN MICHELLE SMITH (LICSW) is associated with Fall River, Massachusetts in the same public data insurers reference.
Why is information missing for KRISTEN MICHELLE SMITH (LICSW)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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