Courtney Smith, LLMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801094821 Issued in MI

Practice address

17100 W 12 Mile Rd
Suite 1
Southfield, MI 48076-2115

Phone

(248) 443-1995

NPI assigned

Sep 24, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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

• Associated Clinics PC

  • Chiropractor
  • Southfield, MI
  • NPI 1326145921
  NPD (past)
• Associated Medical Inc

  • Chiropractor
  • Southfield, MI
  • NPI 1457644163
  NPD (past)

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

{
    "created_epoch": "1348444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348444800000",
    "number": "1083965537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17100 W 12 MILE RD",
            "address_2": "SUITE 1",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762115",
            "telephone_number": "248-443-1995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 W 12 MILE RD",
            "address_2": "SUITE 1",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480762115",
            "telephone_number": "248-443-1995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COURTNEY",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-09-24",
        "last_updated": "2012-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801094821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIMITED LICENSE SOCIAL WORK PERMANENT ID",
            "identifier": "6801094821",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cailee Smith
• Cevone Smith, LMSW
• Cherell Smith
• Cheryl Lee Smith, M.D.
• Christie B Smith, PT, DPT
• Emily Smith
• Emily D Smith, MD
• Gabrielle Smith
• Gareisha Smith
• Isabella Smith

• Social Worker in Southfield, MI
• Providers in Southfield, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2012; 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.