Provider Demographics
NPI:1891679155
Name:SMITH, MATTHEW S
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:S
Last Name:SMITH
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:225 FOXBOROUGH BLVD
Mailing Address - Street 2:
Mailing Address - City:FOXBOROUGH
Mailing Address - State:MA
Mailing Address - Zip Code:02035-3062
Mailing Address - Country:US
Mailing Address - Phone:508-901-4685
Mailing Address - Fax:
Practice Address - Street 1:225 FOXBOROUGH BLVD STE 201
Practice Address - Street 2:
Practice Address - City:FOXBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:02035-3062
Practice Address - Country:US
Practice Address - Phone:774-382-8734
Practice Address - Fax:508-492-2960
Is Sole Proprietor?:No
Enumeration Date:2025-07-31
Last Update Date:2025-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker