Active NPI
Diana Smits, LLMSW
- Clinical Social Worker
- Farmington Hills, MI
National Provider Identifier
1508473109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6851108085
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801108085 | MI | MD | Clinical Social Worker |
| 6851108085 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Mel Bornstein Clinic for Psychoanalysis and Psychotherapy | Single Specialty | Current | 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.
-
- Multi-Specialty Clinic/Center
- Farmington Hills, MI
- NPI 1023546389
Single Specialty
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.