Travis Mark Smith, LLBSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6802087942 Issued in MI

Practice address

1800 W Big Beaver Rd Ste 150
Troy, MI 48084-3535

Phone

(248) 918-5600

NPI assigned

Nov 20, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Travis Mark Smith Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1384905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1538599006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 W BIG BEAVER RD STE 150",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843535",
            "telephone_number": "248-918-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 W BIG BEAVER RD STE 150",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843535",
            "telephone_number": "248-918-5600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14799 Dix Toledo Rd",
            "address_purpose": "LOCATION",
            "city": "Southgate",
            "state": "MI",
            "postal_code": "481952507",
            "country_code": "US",
            "telephone_number": "313-287-6702",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TRAVIS",
        "middle_name": "MARK",
        "name_prefix": "Mr.",
        "credential": "LLBSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-11-20",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802087942",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "171M00000X",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TRAVIS",
            "last_name": "SMITH",
            "middle_name": "MARK",
            "prefix": "MR.",
            "credential": "LLBSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Lewis Wilson Smith, PH.D.
• Madison Elizabeth Smith, OTD, OTR/L
• Stephan James Smith, H.I.T
• Stephen M. Smith, MD
• Suzette Marie Smith
• Turner Smith, LMSW
• Windell Lee Smith III
• Agnieszka Z Smylnycky, MD
• Allison Elizabeth Snider, PT, DPT
• Kalli Lynn Snitgen

• Social Worker in Troy, MI
• Providers in Troy, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.