Active NPI
Chelsea Peraino Smoots, MBA LMSW
- Social Worker
- Royal Oak, MI
National Provider Identifier
1245676212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 801 W 11 Mile Rd Ste 160
Royal Oak, MI 48067-5200 - Phone
- (248) 765-8343
- NPI assigned
- May 17, 2013
- Last updated
- Aug 10, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MI | ||
| Social Worker | 104100000X | MI | Primary |
Addresses
Primary practice location
801 W 11 Mile Rd Ste 160
Royal Oak, MI 48067-5200
Mailing address
22445 Maple St
Saint Clair Shores, MI 48081-2360
Other practice location 1
1110 Eldon Baker Dr
Flint, MI 48507-1923
Phone (810) 232-2766
Other practice location 2
892 11 Mile Rd
Berkley, MI 48072
Phone (248) 765-8343
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0 | Other | N/A |
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)
- Enrolled
- Credentials
- Master of Business Administration
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psy-Che PLLC | Social Worker | Current | Accepting new patients |
Locations
801 W 11 Mile Rd
Ste 160
Royal Oak, MI 48067
Phone (248) 765-8343
Organizations & group practices 1
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.
-
- Social Worker
- Saint Clair Shores, MI
- NPI 1972060788
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1245676212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22445 MAPLE ST",
"city": "SAINT CLAIR SHORES",
"state": "MI",
"postal_code": "480812360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "801 W 11 MILE RD STE 160",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480675200",
"telephone_number": "248-765-8343"
}
],
"practiceLocations": [
{
"address_1": "1110 Eldon Baker Dr",
"address_purpose": "LOCATION",
"city": "Flint",
"state": "MI",
"postal_code": "485071923",
"country_code": "US",
"telephone_number": "810-232-2766",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "892 11 Mile Rd",
"address_purpose": "LOCATION",
"city": "Berkley",
"state": "MI",
"postal_code": "48072",
"country_code": "US",
"telephone_number": "248-765-8343",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMOOTS",
"first_name": "CHELSEA",
"middle_name": "PERAINO",
"name_prefix": "Mrs.",
"credential": "MBA LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-17",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": null,
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": null,
"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 Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.