Lake Superior Functional Psychotherapy, PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

LAKE SUPERIOR FUNCTIONAL PSYCHOTHERAPY, PLLC

Practice address

104 Coles Dr Ste D
Marquette, MI 49855-4059

Phone

(906) 458-0914

Fax

(906) 205-0498

NPI assigned

Aug 22, 2025

Last updated

May 15, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carol A Smith, LMSW-CNPI 1770255226

Title

Owner

Phone

(906) 458-0914

Specialties & licenses 1

Addresses

Other names 1

• Carol Dollar Smith, MSW.LLC Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carol Anne Smith, LMSW

  • Social Worker
  • Marquette, MI
  • NPI 1770255226

  Clinical

  NPD Authorized official

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

{
    "created_epoch": "1755820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778803200000",
    "number": "1174401848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 E MICHIGAN ST",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498553826",
            "telephone_number": "906-458-0914",
            "fax_number": "906-205-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 COLES DR STE D",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498554059",
            "telephone_number": "906-458-0914",
            "fax_number": "906-205-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAKE SUPERIOR FUNCTIONAL PSYCHOTHERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-22",
        "last_updated": "2026-05-15",
        "certification_date": "2026-05-15",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "906-458-0914",
        "authorized_official_credential": "LMSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Carol Dollar Smith, MSW.LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Matt John Lafountain, CHW
• Courtney Dae Lafreniere
• Susan Lafreniere, ACSW, CGP, CDP, PC
• Paul Alan Lahaye, MD
• Kyle Lajoye, PHARMD
• Lake Superior Hospice Association Inc
• Emily Twichell Lambert, PA
• Matthew Allen Lambert, LLPC
• Jacob Lane
• Laura M Lane, CRNA

• Clinical Social Worker in Marquette, MI
• Providers in Marquette, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.