Individual provider Active NPI

Lativia Smith, LMSW-C

  • Mental Health Counselor
  • Westland, MI
National Provider Identifier
1033453139
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6801109132 Issued in MI
Practice address
34290 Ford Rd
Westland, MI 48185-3051
Phone
(313) 717-1830
NPI assigned
Nov 15, 2012
Last updated
Jan 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Mental Health Counselor 101YM0800X 6801109132 MI Primary
Social Worker 104100000X
Social Worker 104100000X 6801109132 MI
Clinical Social Worker 1041C0700X

Addresses

Primary practice location

34290 Ford Rd
Westland, MI 48185-3051

Mailing address

34290 Ford Rd
Westland, MI 48185-3051
Phone (313) 717-1830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221104000453 MI Practitioner - Clinical Social Worker 4385011303 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

30150 Telegraph Rd
Suite 245
Bingham Farms, MI 48025-4521
Phone (800) 693-1916

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Team Mental Health Services Inc. CurrentSince Feb 10, 2024 Accepting new patients
Team Wellness Center CurrentSince Feb 10, 2024 Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Nov 2, 2022 Accepting new patients
A Clearer Picture, LLC Clinical Current Accepting new patients

Locations

30150 Telegraph Rd
Ste 245
Bingham Farms, MI 48025
Phone (248) 238-1824

290 Town Center Dr
Ste 400
Dearborn, MI 48126
Phone (248) 763-5289

2925 Russell St
Detroit, MI 48207
Phone (313) 462-4714

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

34290 Ford Rd
Westland, MI 48185
Phone (734) 412-8800

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1352937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1033453139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34290 FORD RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853051",
            "telephone_number": "313-717-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34290 FORD RD",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853051",
            "telephone_number": "313-717-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LATIVIA",
        "name_prefix": "Miss",
        "credential": "LMSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-15",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801109132",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801109132",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westland, MI

Sources for this page

Verify at the official NPI Registry.