KERRY LYNN SMITH (NPI# 1043711039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043711039 |
| Entity Type | Individual |
| Full Name | KERRY LYNN SMITH |
| Credential | LCSW |
| Practice Address |
251 Main St Ste 101 Old Saybrook CT 06475-2357 |
| Mailing Address |
26 Spring St Deep River CT 06417-1811 |
| Practice Telephone | 8603889656 |
| Practice Fax Number | 8603889656 |
| Mailing Telephone | 8605262716 |
| Enumeration Date | 2018-02-24 |
| Last Update Date | 2018-02-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
004428 | CT | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497998033 | Kerry David Smith | Dentist | 16319 Fishhawk Blvd, Lithia, FL 33547-3932 | 2009-04-13 |
| 1407322191 | Kerry Smith | Physical Therapist | 9425 Mission Rd, Leawood, KS 66206-2045 | 2018-10-19 |
| 1588147532 | Kerry Smith | Behavior Technician | 21505 N 78th Ave Ste 125, Peoria, AZ 85382-3356 | 2018-09-14 |
| 1275083230 | Kerry Smith | Counselor | 319 Beech St, Holyoke, MA 01040-3968 | 2016-10-13 |
| 1487066304 | Kerry Smith | Nurse Practitioner | 200 1st St Sw, Rochester, MN 55905-0001 | 2014-05-27 |
| 1629326251 | Kerry Lynn Smith | Nurse Practitioner | 2330 W 10th St, Odessa, TX 79763-3782 | 2012-08-29 |
| 1194991141 | Kerry Hamilton Smith | Internal Medicine | 1600 University Dr E, College Station, TX 77840-2642 | 2008-04-30 |
| 1538333067 | Kerry Howard Smith | Physical Therapist | 2265 Parr Ave, Dyersburg, TN 38024-2078 | 2008-04-16 |
| 1386821858 | Kerry Firmin Smith | Physical Therapist | 626 N Tyndall Pkwy, Callaway, FL 32404-6132 | 2008-01-28 |
| 1760557789 | Kerry E Smith | Psychologist | 55 E Washington St, Suite 733, Chicago, IL 60602-2103 | 2006-11-22 |
| Street Address |
251 MAIN ST STE 101 |
| City | OLD SAYBROOK |
| State | CT |
| Zip Code | 06475-2357 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225503279 | Benjamin Backes | Counselor | 251 Main St Ste 101, Old Saybrook, CT 06475-2357 | 2018-10-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912464223 | Kathleen Malcolm | Physical Medicine & Rehabilitation | Apple Rehab Saybrook, 1775 Boston Post Rd, Old Saybrook, CT 06475 | 2019-02-22 |
| 1841661469 | Laura M. Shires, Lcsw, LLC | Social Worker | 24 Ledge Road, Old Saybrook, CT 06475 | 2015-10-08 |
| 1316323397 | Robyn Reilly | Nurse Practitioner | 1687 Rte 1, Old Saybrook, CT 06475 | 2015-08-03 |
| 1679858542 | Brandi Taylor | Counselor | 263 Main St., Suite 301, Old Saybrook, CT 06475 | 2011-10-11 |
| 1346545670 | Lucille Wymer Hartman | Mechanotherapist | 1775 Boston Post Road, Old Saybrook, CT 06475 | 2011-01-18 |
| 1508160631 | Whole Health Wellness, LLC | Clinic/Center | 139 Mill Rock Rd E Unit 1522, Old Saybrook, CT 06475 | 2011-01-04 |
| 1184948481 | Maria S. Foss-rand | Counselor | 251 Main St., Suite 100, Old Seybrook, CT 06475 | 2010-03-16 |
| 1467658161 | Rick Morant Dmd Ms LLC | Dentist | 1358 Boston Post Rd, Suite 2, Old Saybrook, CT 06475 | 2007-06-21 |
| 1174724801 | Richard P Benoit Dmd PC | Dentist | 123 Elm Street, Suite 1300, Old Saybrook, CT 06475 | 2007-05-30 |
| 1194932392 | Omotayo Elizabeth Awujoola | Nurse Practitioner | 20 Research Parkway, Old Saybrook, CT 06475 | 2007-05-17 |
| Find all providers in zip 06475 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285261156 | Portia Pendleton, Lcsw LLC. | Social Worker | 251 Main St Ste 200, Old Saybrook, CT 06475-2357 | 2020-03-23 |
| 1710460266 | Ann Whitall | Social Worker | 7 N Main St Unit 334, Old Saybrook, CT 06475-4242 | 2018-09-11 |
| 1841661469 | Laura M. Shires, Lcsw, LLC | Social Worker | 24 Ledge Road, Old Saybrook, CT 06475 | 2015-10-08 |
| 1649530460 | Carrie Kolb | Social Worker | 263 Main St Ste 304-306, Old Saybrook, CT 06475-2326 | 2012-05-26 |
| 1083921985 | Neil Becker | Social Worker | 38 Clearwater Rd, Old Saybrook, CT 06475-2837 | 2010-09-13 |
| 1043456874 | Diane Achenbach-zatorsk | Social Worker | 20 Research Pkwy Ste C, Old Saybrook, CT 06475-4214 | 2008-12-29 |
| 1770708810 | Sheila Ring Reed | Social Worker | 12 Old Boston Post Rd, Old Saybrook, CT 06475-2212 | 2007-04-16 |
| 1033237888 | Michael Momparler | Social Worker | 18 Reed Ct, Old Saybrook, CT 06475-2533 | 2007-03-27 |
| 1538219092 | Marjorie Glosband Hart | Social Worker | 35 Sherwood Ter, Old Saybrook, CT 06475-2123 | 2007-01-10 |
| 1811083090 | Deirdre Plyer | Social Worker | 35 Edmund St, Suite A, Old Saybrook, CT 06475-2422 | 2006-10-05 |
| Find all providers in OLD SAYBROOK | ||||
| City | OLD SAYBROOK |
| Zip Code | 06475 |
Please comment or provide details below to improve the information on KERRY LYNN SMITH.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.