Michelle Smith, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

57878 Issued in TX

Practice address

318 Cedar St
Abilene, TX 79601-5722

Phone

(325) 672-7055

NPI assigned

May 29, 2014

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050
  NPD (past)

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

{
    "created_epoch": "1401321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549411200000",
    "number": "1174935852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 TERRI ANN CIR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796064170",
            "telephone_number": "325-513-9021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "318 CEDAR ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796015722",
            "telephone_number": "325-672-7055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 W Veterans Blvd",
            "address_purpose": "LOCATION",
            "city": "Big Spring",
            "state": "TX",
            "postal_code": "797205566",
            "country_code": "US",
            "telephone_number": "432-263-7361 x7059",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-05-29",
        "last_updated": "2019-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "57878",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "57878",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ASWB",
            "identifier": "57878",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamryn Pursley Smith
• Larry Smith, L.A.T
• Laura Langford Smith, MS SLP-CCC
• Makenzie Leann Smith
• Melissa Smith
• Michelle Lee Smith, M.A., CCC-SLP
• Quint Howard Smith, PA-C
• Rachel Denise Smith, M.S., CCC-SLP
• Rebecca Smith, LVN
• Rebecca Smith, FNP-C

• Clinical Social Worker in Abilene, TX
• Providers in Abilene, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.