Kimberly Smith, LMSW

Individual provider Active NPI Clinical Social Worker · Saranac, MI

NPI 1376909283 · NPPES record last updated Mar 19, 2026

Key facts

NPI
1376909283
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6801113774 (MI)
Practice address
92 N Bridge St
Saranac, MI 48881-5102
Phone
(616) 642-6466
NPI assigned
Jan 7, 2016
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220201001931 MI Practitioner - Clinical Social Worker 8022401728 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
No
HHS exclusion list flag
The National Provider Directory flags this NPI as appearing on an HHS exclusion list. Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
6801113774MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Four Health Family Resource Center Inc Current
since Oct 24, 2024
Accepting new patients
Richard Kneip, PH.D., P.C. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801113774 MI Yes
Social Worker 104100000X 6801113774 MI

Addresses

Primary practice location

92 N Bridge St
Saranac, MI 48881-5102

Mailing address

3590 S State Rd Apt 6
Ionia, MI 48846-9416
Phone (269) 240-5193

Other practice location 1

3590 S State Rd Apt 6
Ionia, MI 48846-9416
Phone (269) 240-5193

Other providers in Saranac, MI

All providers in Saranac, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.