Active NPI
Lativia Smith, LMSW-C
- Mental Health Counselor
- Westland, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 6801109132
- Practice address
- 34290 Ford Rd
Westland, MI 48185-3051 - Phone
- (313) 717-1830
- NPI assigned
- Nov 15, 2012
- Last updated
- Jan 11, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Team Mental Health Services Inc. | Current | Accepting new patients | |
| Team Wellness Center | Current | Accepting new patients | |
| Richard Kneip, PH.D., P.C. | Current | 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.
-
dba Great Lakes Psychology Group
- Community/Behavioral Health Agency
- Clarkston, MI
- NPI 1679739700
-
- Community Health Clinic/Center
- Detroit, MI
- NPI 1588855100
-
- Clinical Social Worker
- Detroit, MI
- NPI 1700685518
-
dba Team Wellness Center
- Primary Care Clinic/Center
- Detroit, MI
- NPI 1295324291
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.