Provider Demographics
NPI:1467618769
Name:SMITH-THURET, MELANIE ILENE (MSW/LICSW)
Entity Type:Individual
Prefix:MRS
First Name:MELANIE
Middle Name:ILENE
Last Name:SMITH-THURET
Suffix:
Gender:F
Credentials:MSW/LICSW
Other - Prefix:MS
Other - First Name:MELANIE
Other - Middle Name:ILENE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW/LICSW
Mailing Address - Street 1:60 PLEASANT ST
Mailing Address - Street 2:421
Mailing Address - City:ARLINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02476-6530
Mailing Address - Country:US
Mailing Address - Phone:617-510-0887
Mailing Address - Fax:
Practice Address - Street 1:60 PLEASANT ST
Practice Address - Street 2:421
Practice Address - City:ARLINGTON
Practice Address - State:MA
Practice Address - Zip Code:02476-6530
Practice Address - Country:US
Practice Address - Phone:617-510-0887
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-06
Last Update Date:2008-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1138831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical