Organization Active NPI

Gary G Smith, LMSW, LLC

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1528402278
Registry record updated Apr 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801088994 Issued in MI
Legal business name
GARY G SMITH, LMSW, LLC
Practice address
1945 Pauline Blvd
Suite 14
Ann Arbor, MI 48103-5047
Phone
(734) 646-3581
NPI assigned
Apr 24, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2013

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

Authorized official

Name
Gary G Smith, LMSW
Title
Clinical Social Worker/Therapist
Phone
(734) 646-3581

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801088994 MI Primary

Addresses

Primary practice location

1945 Pauline Blvd
Suite 14
Ann Arbor, MI 48103-5047

Mailing address

PO Box 3365
Ann Arbor, MI 48106-3365
Phone (734) 646-3581

National Provider Directory

National Provider Directory

Locations

1945 Pauline Blvd
Ste 14
Ann Arbor, MI 48103
Phone (734) 206-1920

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1528402278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3365",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481063365",
            "telephone_number": "734-646-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 PAULINE BLVD",
            "address_2": "SUITE 14",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035047",
            "telephone_number": "734-646-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GARY G SMITH, LMSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-24",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER/THERAPIST",
        "authorized_official_telephone_number": "734-646-3581",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; 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.