Individual provider Active NPI

Diana Smits, LLMSW

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1508473109
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851108085 Issued in MI
Practice address
32841 Middlebelt Rd Ste 403
Farmington Hills, MI 48334-1714
Phone
(248) 562-6217
NPI assigned
Sep 28, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801108085 MI
Clinical Social Worker 1041C0700X 6851108085 MI Primary

Addresses

Primary practice location

32841 Middlebelt Rd Ste 403
Farmington Hills, MI 48334-1714

Mailing address

32841 Middlebelt Rd Ste 403
Farmington Hills, MI 48334-1714
Phone (248) 562-6217

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL therapynotes Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6801108085MIMDClinical Social Worker
6851108085MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Mel Bornstein Clinic for Psychoanalysis and Psychotherapy Single Specialty CurrentSince Sep 23, 2021 Accepting new patients

Locations

32841 Middlebelt Rd
Ste 403
Farmington Hills, MI 48334
Phone (248) 851-7739

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1601251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1508473109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32841 MIDDLEBELT RD STE 403",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341714",
            "telephone_number": "248-562-6217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32841 MIDDLEBELT RD STE 403",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483341714",
            "telephone_number": "248-562-6217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITS",
        "first_name": "DIANA",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-28",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801108085",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851108085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "therapynotes",
            "affiliation": "N",
            "endpointDescription": "online ehr",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "na",
            "address_1": "32841 Middlebelt Rd Ste 403",
            "city": "Farmington Hills",
            "state": "MI",
            "country_code": "US",
            "postal_code": "483341714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; 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.