DEBRA ETHEL SMITH (NPI# 1831317783) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831317783 |
| Entity Type | Individual |
| Full Name | DEBRA ETHEL SMITH |
| Credential | MC |
| Practice Address |
180 Centre Street Brockton MA 02302-2733 |
| Practice Telephone | 5085866300 |
| Mailing Telephone | 5085866300 |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104312370 | Debra Kay Smith | Marriage & Family Therapist | 33726 Chrisco St, Agua Dulce, CA 91390-5051 | 2018-07-10 |
| 1154818540 | Debra Lynne Smith | Registered Nurse | 10601 248th Street Ct E, Graham, WA 98338-6769 | 2018-04-20 |
| 1922488840 | Debra Smith | Occupational Therapy Assistant | 900 Colonial Lake Dr Apt 923, Madison, AL 35758-2283 | 2015-06-05 |
| 1629404942 | Debra Smith | Behavioral Analyst | 36 Gotham Ave, Brooklyn, NY 11229 | 2013-09-18 |
| 1942555677 | Debra Smith | Community Health Worker | 11056 Township Road 101, Findlay, OH 45840-9608 | 2012-07-18 |
| 1538490719 | Debra Kay Smith | Physician Assistant | One Dell Way, Mailstop Rr 8-49 Well At Dell Health Center, Round Rock, TX 78682 | 2010-01-27 |
| 1306085667 | Debra M Smith | Speech-Language Pathologist | 38 W Passage Dr, Portsmouth, RI 02871-1358 | 2009-02-10 |
| 1972714442 | Debra Kay Hines Smith | Physician Assistant | 22629 N 73rd Dr, Glendale, AZ 85310-5662 | 2007-05-25 |
| 1184758302 | Debra Frazier Smith | Registered Nurse | 3968 Rose Ave, Long Beach, CA 90807-3734 | 2007-03-16 |
| 1194885186 | Debra A Smith | Preventive Medicine | 7008 Wooded Meadow Rd, Louisville, KY 40241-6411 | 2006-12-11 |
| Street Address |
180 CENTRE STREET |
| City | BROCKTON |
| State | MA |
| Zip Code | 02302-2733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154544880 | Habit Opco | Counselor | 180 Centre Street, Brockton, MA 02301 | 2007-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427513373 | Miriam Monteiro | Social Worker | 688 Plain Street, Brockton, MA 02302 | 2019-02-05 |
| 1619432523 | Shirley Elefson | Social Worker | 330 Crescent Street, Brockton, MA 02302 | 2019-02-05 |
| 1578055505 | Steigmward Desir | Specialist | 472 E Ashland St, Brockton, MA 02302 | 2018-06-05 |
| 1114417797 | Katherine Douglas Van Schaik | Student in an Organized Health Care Education/Training Program | Brockton Signature Healthcare-bidmc, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700376365 | Emmanuel Carrodeguas | Student in an Organized Health Care Education/Training Program | Brockton Hospital, 680 Centre Street, Brockton, MA 02302 | 2018-05-18 |
| 1700303856 | My Care, LLC | Home Health | 307 Field Street, Brockton, MA 02302 | 2017-08-29 |
| 1982124988 | Shavon Franks | Psychologist | 30 Downey Rd, Brockton, MA 02302 | 2017-06-21 |
| 1831629286 | Kings & Queens Empowered | Religious Nonmedical Health Care Institution | 312 Carl Ave, Brockton, MA 02302 | 2017-06-18 |
| 1487193389 | Roseline Eliezer | Licensed Practical Nurse | 17 Simeon Avenue, Brockton, MA 02302 | 2017-02-13 |
| 1184008989 | Danielle Parker | Student in an Organized Health Care Education/Training Program | 23 Grinnell Rd, Brockton, MA 02302 | 2015-07-13 |
| Find all providers in zip 02302 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205444924 | Caroline Storey | Counselor | Men's Addiction Treatment Center, 10 Meadowbrook Road, Brockton, MA 02301 | 2020-07-20 |
| 1720540156 | Nicilda Dejesus | Counselor | 204 Chatham West Dr, Brockton, MA 02301-1314 | 2019-04-04 |
| 1285160838 | Maria Atherton Jr. | Counselor | 17 Snell St, Brockton, MA 02301-1644 | 2017-05-02 |
| 1467726398 | Carin Rhodes | Counselor | 1115 W Chestnut St Ste 101, Brockton, MA 02301-7501 | 2012-02-23 |
| 1073817573 | Daniel Mendes Depina | Counselor | 682 North Main Street, Apt. 308, Brockton, MA 02301-3626 | 2010-12-27 |
| 1063713402 | Judith R Chaskes | Counselor | 30 Meadowbrook Road, Brockton, MA 02301 | 2010-11-16 |
| 1093957185 | Jerome P Posey | Counselor | 1311 Main St, Brockton, MA 02301-7109 | 2009-04-03 |
| 1548441587 | Sylvester Pereira Fortes | Counselor | 20 Hope St, Brockton, MA 02302-3415 | 2007-11-19 |
| 1184817579 | George Hamilton Brickhouse Jr. | Counselor | 108 Centre Street, Brockton, MA 02302 | 2007-08-20 |
| 1720282130 | Kathleen Mary Mckenna | Counselor | 225 Liberty St, Brockton, MA 02301-5571 | 2007-06-12 |
| Find all providers in BROCKTON | ||||
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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.