Jill Deanne Smith, LBSW,CAC-M

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6802065639 Issued in MI

Practice address

2940 Ellsworth Rd
Ypsilanti, MI 48197-7406

Phone

(734) 434-2603

Fax

(734) 434-1511

NPI assigned

Jan 31, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1201737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201737600000",
    "number": "1194903252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 TOWNER ST",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481985752",
            "telephone_number": "734-544-3000",
            "fax_number": "734-544-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2940 ELLSWORTH RD",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481977406",
            "telephone_number": "734-434-2603",
            "fax_number": "734-434-1511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "JILL",
        "middle_name": "DEANNE",
        "credential": "LBSW,CAC-M",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-31",
        "last_updated": "2008-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802065639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Wayne Smith, DDS, M.D.
• Frank Smith, MD
• Gary Gene Smith, MSW
• Irene Smith
• Jayden Smith
• Kelsey Jean Smith, BEHAVIOR TECHNICIAN
• Kruz Smith
• Madison Marie Smith, MA, IBCLC
• McKenna Marie Smith
• Michael Washburn Smith, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2008; 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.