Individual provider Active NPI

Chelsea Peraino Smoots, MBA LMSW

  • Social Worker
  • Royal Oak, MI
National Provider Identifier
1245676212
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
0OtherN/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

OrganizationSpecialtyStatusNew patients
Psy-Che PLLC Social Worker CurrentSince Aug 14, 2022 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.

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.

Verify at the official NPI Registry.