Individual provider Active NPI

Elizabeth Erin Smoot

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1376255141
Registry record updated Dec 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801115580 Issued in MI
Practice address
220 Collingwood St Ste 140
Ann Arbor, MI 48103-3842
Phone
(734) 383-0047
NPI assigned
Dec 23, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801115580 MI Primary

Addresses

Primary practice location

220 Collingwood St Ste 140
Ann Arbor, MI 48103-3842

Mailing address

220 Collingwood St Ste 140
Ann Arbor, MI 48103-3842

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250620000997 MI Practitioner - Clinical Social Worker 4688186232 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maturity MattersGroup PAC ID 5597120204, 17 clinicians

Practice addresses (Care Compare)

1880 W Stadium Blvd
Ann Arbor, MI 48103-4504
Phone (734) 369-6163

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Maturity Matters Clinical CurrentSince May 15, 2025 Accepting new patients
Heckendorn Consultation and Therapy, PLLC Clinical CurrentSince Dec 28, 2022 Accepting new patients

Locations

1880 W Stadium Blvd
Ann Arbor, MI 48103
Phone (734) 369-6163

220 Collingwood St
Ste 140
Ann Arbor, MI 48103
Phone (734) 274-0536

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1671753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671753600000",
    "number": "1376255141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 COLLINGWOOD ST STE 140",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 COLLINGWOOD ST STE 140",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033842",
            "telephone_number": "734-383-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMOOT",
        "first_name": "ELIZABETH",
        "middle_name": "ERIN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-23",
        "last_updated": "2022-12-23",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801115580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.