MR. WALTER JOHN SMITH (NPI# 1972736338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972736338 |
| Entity Type | Individual |
| Full Name | MR. WALTER JOHN SMITH |
| Credential | LADC 1 |
| Practice Address |
435 Warren St Roxbury MA 02119-1833 |
| Practice Telephone | 6175413670 |
| Mailing Telephone | 6175413670 |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2009-09-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
1930 | MA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801415120 | Walter Smith | Student in an Organized Health Care Education/Training Program | 13212 Pinehurst Rd, Oklahoma City, OK 73120-8518 | 2020-04-16 |
| 1790041234 | Walter Paul Smith | Clinical Neuropsychologist | 998 Grape St, Denver, CO 80220-4427 | 2012-04-10 |
| 1013037464 | Walter James Smith | Counselor | 4 Harnish Lane, Red Lodge, MT 59068-1992 | 2007-03-30 |
| 1538210786 | Walter H Smith | Family Medicine | 6330 Church St, Riverdale, GA 30274-1617 | 2007-01-15 |
| 1326197864 | Walter E Smith | Family Medicine | 5867 Ehrhardt Rd, Ehrhardt, SC 29081 | 2007-01-10 |
| 1225125537 | Walter H Smith Jr. | Dentist | 6541 Highway 69 S Ste B, Tuscaloosa, AL 35405-3965 | 2006-10-06 |
| 1073615332 | Walter Kenneth Smith | Counselor | 57 South State Street, Painesville, OH 44077 | 2006-09-05 |
| 1063460913 | Walter E Smith | Radiology | 2415 North 4425 West, Ogden, UT 84404 | 2006-05-04 |
| 1124020219 | Walter F Smith | Physical Therapist | 10024 Skokie Blvd Ste 304, Skokie, IL 60077-9945 | 2005-08-10 |
| 1639666357 | Walter Edward Smith | Chiropractor | 37283 Swamp Rd Ste 1001, Prairieville, LA 70769-3298 | 2018-04-18 |
| Street Address |
435 WARREN ST |
| City | ROXBURY |
| State | MA |
| Zip Code | 02119-1833 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932266533 | Roxbury Comprehensive Community Health Center, Inc. | Clinic/Center | 435 Warren St, Roxbury, MA 02119-1833 | 2007-01-02 |
| 1174872147 | Jeannie Marie Baca | Student in an Organized Health Care Education/Training Program | 435 Warren St, Roxbury, MA 02119-1833 | 2012-09-05 |
| 1215290754 | Kandis Alexis Smith | Dentist | 435 Warren St, Roxbury, MA 02119-1833 | 2012-06-20 |
| 1467724203 | Janet Cohen Zwiebel | Psychologist | 435 Warren St, Roxbury, MA 02119-1833 | 2012-02-08 |
| 1720360134 | Katherine Thayer | Social Worker | 435 Warren St, Roxbury, MA 02119-1833 | 2011-09-12 |
| 1134401540 | Rochelle James | Social Worker | 435 Warren St, Roxbury, MA 02119-1833 | 2011-09-12 |
| 1487953329 | Jewell M Simmons | Social Worker | 435 Warren St, Roxbury, MA 02119-1833 | 2011-03-17 |
| 1861701534 | Michelle Lee Edwards | Social Worker | 435 Warren St, Roxbury, MA 02119-1833 | 2010-09-29 |
| 1437467636 | Liana Angele Papaleo | Social Worker | 435 Warren St, Roxbury, MA 02119-1833 | 2010-09-22 |
| 1528375854 | Safaa A Shaheen | Student in an Organized Health Care Education/Training Program | 435 Warren St, Roxbury, MA 02119-1833 | 2010-09-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427661644 | Christina Kim Hunt | Case Manager/Care Coordinator | 75 Amory St, Garden Level, Boston, MA 02119 | 2020-08-27 |
| 1962021089 | Taha Fathima Khan | Student in an Organized Health Care Education/Training Program | Boston Medical Center, 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-04-09 |
| 1154957132 | Katherine Erin Douglas | Pediatrics | 801 Albany Street, 3rd Floor, Department of Pediatrics, Boston, MA 02119 | 2020-03-21 |
| 1720536568 | Ramy Y Barrett | Counselor | 77 Savin Street, Apartment # 3, Boston, MA 02119 | 2016-09-21 |
| 1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
| 1922478486 | Natalie Jones | Counselor | 520 Dudley St., Roxbury, MA 02119 | 2015-09-28 |
| 1922484799 | Dina Ghaly-habib | Student in an Organized Health Care Education/Training Program | 100 East Newton St., G-706, Boston, MA 02119 | 2015-08-04 |
| 1942697248 | Pyramid Builders | Case Management | 11 Roxbury Street, Boston, MA 02119 | 2015-04-24 |
| 1063810984 | Sophia Smalls | Counselor | 250 Walnut Ave, Apt. 10, Boston, MA 02119 | 2014-12-09 |
| 1750705059 | Alasa Hawkins | Counselor | 502 Dudley St, Roxbury, MA 02119 | 2014-02-07 |
| Find all providers in zip 02119 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104320357 | Juan Grullon | Counselor | 302 Eustis St, Roxbury, MA 02119-3800 | 2018-03-22 |
| 1083089676 | Natasha Cruz | Counselor | 263 Eustis Street, Roxbury, MA 02119 | 2015-12-08 |
| 1083046205 | Christopher Conway | Counselor | 432 Dudley St Ste 211, Roxbury, MA 02119-2763 | 2013-07-30 |
| 1215297304 | Earl Dandy Jr. | Counselor | 15 Elmore St # 2, Roxbury, MA 02119-1618 | 2012-05-22 |
| 1437385754 | Alice Wood Griffin | Counselor | 28 Hemlock Rd, Roxbury, CT 06783-1409 | 2009-06-01 |
| 1861612053 | Ameatriss Little | Counselor | 55 Topeka Street, Roxbury, MA 02215 | 2007-04-27 |
| 1184128050 | Anna M Rodriguez | Counselor | 302 Eustis St, Roxbury, MA 02119-3800 | 2018-03-23 |
| 1104320365 | Mary-alyssa E Nieman | Counselor | 302 Eustis St, Roxbury, MA 02119-3800 | 2018-03-22 |
| 1881198034 | Jose O Colon | Counselor | 245 Eustis St, Roxbury, MA 02119-2826 | 2018-03-22 |
| 1922502186 | Dina Park-matsas | Counselor | 302 Eustis St, Roxbury, MA 02119-3800 | 2018-03-22 |
| Find all providers in ROXBURY | ||||
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| 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.