Provider Demographics
NPI:1497898415
Name:SMYTH, CATHERINE COMERFORD (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:COMERFORD
Last Name:SMYTH
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 RUSSELL ST
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:MA
Mailing Address - Zip Code:02186-3535
Mailing Address - Country:US
Mailing Address - Phone:617-698-1375
Mailing Address - Fax:
Practice Address - Street 1:MGH SENIOR HEALTH
Practice Address - Street 2:165 CAMBRIDGE ST., SUITE 502
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-643-1007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical