Lisa Bledsoe Smith

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801085680 Issued in MI

Practice address

120 S Main St Ste C
Milford, MI 48381-1975

Phone

(248) 529-6383

NPI assigned

Aug 15, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Lisa B Parr-Smith Professional name

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": "1534291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534291200000",
    "number": "1346720786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 LOCHAVEN RD",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483243740",
            "telephone_number": "248-939-3320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 S MAIN ST STE C",
            "city": "MILFORD",
            "state": "MI",
            "postal_code": "483811975",
            "telephone_number": "248-529-6383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "LISA",
        "middle_name": "BLEDSOE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-08-15",
        "last_updated": "2018-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801085680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "PARR-SMITH",
            "middle_name": "B",
            "credential": "LMSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Chelsea Patricia-Lynn Shouse
• Wojciech Ryszard Sikora
• Jennifer Silver, LMT
• Kelsey Skelton, P.A.-C
• Leah M Smith, LMSW
• Jessica Sparks
• SRX LLC
• Shay Stemplewski
• Richard C Stevens, DDS
• Stillpoint

• Clinical Social Worker in Milford, MI
• Providers in Milford, 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 Aug 15, 2018; 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.