Individual provider Active NPI

Christian Smith, LMSW

  • Clinical Social Worker
  • Royal Oak, MI
National Provider Identifier
1114639465
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851114143 Issued in MI
Practice address
1010 N Campbell Rd Ste 4
Royal Oak, MI 48067-1570
Phone
(517) 862-1559
NPI assigned
Dec 19, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851114143 MI Primary

Addresses

Primary practice location

1010 N Campbell Rd Ste 4
Royal Oak, MI 48067-1570

Mailing address

3243 Albert Ave Apt 508
Royal Oak, MI 48073-6835

Other practice location 1

3243 Albert Ave Apt 508
Royal Oak, MI 48073-6835
Phone (734) 249-8267

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6851114143MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Michigan Progressive Health Clinical CurrentSince Oct 29, 2023 Accepting new patients
Christian Smith Psychotherapy LLC Clinical Past Accepting new patients

Locations

1010 N Campbell Rd
Ste 4
Royal Oak, MI 48067
Phone (248) 291-7709

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1671408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1114639465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3243 ALBERT AVE APT 508",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480736835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 N CAMPBELL RD STE 4",
            "city": "ROYAL OAK",
            "state": "MI",
            "postal_code": "480671570",
            "telephone_number": "517-862-1559"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3243 Albert Ave Apt 508",
            "address_purpose": "LOCATION",
            "city": "Royal Oak",
            "state": "MI",
            "postal_code": "480736835",
            "country_code": "US",
            "telephone_number": "734-249-8267",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "CHRISTIAN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-12-19",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851114143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Royal Oak, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2026; 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.