Organization Active NPI

Smith Cannady Counseling Associates Inc

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1043488018
Registry record updated Feb 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801001488 Issued in MI
Legal business name
SMITH CANNADY COUNSELING ASSOCIATES INC
Practice address
15659 W 10 Mile Rd
Southfield, MI 48075-2188
Phone
(248) 569-4290
Fax
(248) 569-0609
NPI assigned
Feb 13, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2008

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

Authorized official

Name
Montressia E Smith-Cannady, MSW
Title
President
Phone
(248) 569-4290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801001488 MI Primary

Addresses

Primary practice location

15659 W 10 Mile Rd
Southfield, MI 48075-2188

Mailing address

15659 W 10 Mile Rd
Southfield, MI 48075-2188
Phone (248) 569-4290

Other identifiers 1

IdentifierTypeStateIssuer
8008904140OtherBCBSM

National Provider Directory

National Provider Directory

Locations

15659 W 10 Mile Rd
Southfield, MI 48075
Phone (248) 569-4290

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1202860800000",
    "number": "1043488018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15659 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752188",
            "telephone_number": "248-569-4290",
            "fax_number": "248-569-0609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15659 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752188",
            "telephone_number": "248-569-4290",
            "fax_number": "248-569-0609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH CANNADY COUNSELING ASSOCIATES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2008-02-13",
        "status": "A",
        "authorized_official_last_name": "SMITH-CANNADY",
        "authorized_official_first_name": "MONTRESSIA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-569-4290",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801001488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "8008904140",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.