Kristen Smith

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801094460 Issued in MI

Practice address

916 Washington Ave Ste 205
Bay City, MI 48708-5721

Phone

(989) 415-3143

NPI assigned

Nov 21, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rivers Edge Recovery Center of Michigan LLCGroup PAC ID 6800157041, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Rivers Edge Recovery Center of Michigan LLC

  • Clinical Social Worker
  • Bay City, MI
  • NPI 1033619572
  Medicare reassignment Care Compare group NPD
• Corinn Denay LMSW Counseling LLC

  • Clinical Social Worker
  • Bay City, MI
  • NPI 1598327983
  NPD
• Consumer Services, Inc.

  dba Taylor Life Center

  • Clinical Social Worker
  • Mason, MI
  • NPI 1700066339
  NPD (past)
• Lutheran Child and Family Service of Michigan

  • Community/Behavioral Health Agency
  • Bay City, MI
  • NPI 1063409480
  NPD (past)

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1164766630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 NEBOBISH AVE",
            "city": "ESSEXVILLE",
            "state": "MI",
            "postal_code": "487321158"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 WASHINGTON AVE STE 205",
            "city": "BAY CITY",
            "state": "MI",
            "postal_code": "487085721",
            "telephone_number": "989-415-3143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4400 S Saginaw St",
            "address_2": "1460",
            "address_purpose": "LOCATION",
            "city": "Flint",
            "state": "MI",
            "postal_code": "485072645",
            "country_code": "US",
            "telephone_number": "810-237-0799",
            "fax_number": "810-237-0805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "KRISTEN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801094460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Grace Louise Smith, BT
• Heather Smith
• Jasmine Smith
• Kaley Smith
• Kevin Smith, O.T.R.
• Laurie Smith
• Lily Grace Smith
• Matthew James Smith, OTR
• Megan Ann Smith, MA, LPC, DP-S, CAADC
• Mikayla Smith

• Social Worker in Bay City, MI
• Providers in Bay City, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.

Verify at the official NPI Registry.