Michell Sandra Smith, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801083892 Issued in MI

Practice address

19960 Wyoming St
Detroit, MI 48221-1598

Phone

(313) 282-4291

NPI assigned

Jul 17, 2011

Last updated

May 1, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mary S Young Adults Day Care IncGroup PAC ID 0547605958, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mary S Young Adults Day Care, Inc

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1134848542
  Medicare reassignment Care Compare group NPD
• World Mental Health Organization

  dba Wmho

  • Multi-Specialty Clinic/Center
  • Detroit, MI
  • NPI 1144981457
  Medicare reassignment NPD

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

{
    "created_epoch": "1310860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398902400000",
    "number": "1518255140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19960 WYOMING ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211598",
            "telephone_number": "313-282-4291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19960 WYOMING ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482211598",
            "telephone_number": "313-282-4291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHELL",
        "middle_name": "SANDRA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-17",
        "last_updated": "2014-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801083892",
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "MI",
            "license": "6801083892",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Smith, RN, AGACNP
• Metecia Smith
• Michael Smith III
• Michael Smith Jr.
• Michael Smith
• Michelle Nakyshia Smith
• Molonee Smith, M.A., TLLP
• Natasha L Smith, PA-C, MHSA
• Nateshia Smith, LPN
• Nathaniel Delove Smith

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, 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 May 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.