Individual provider Active NPI

Mary Smith-Hairston, LMSW

  • Clinical Social Worker
  • Burton, MI
National Provider Identifier
1649163387
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801098682 Issued in MI
Practice address
4001 Walli Strasse Dr Ste B
Burton, MI 48509-1729
Phone
(810) 306-2858
Fax
(810) 306-2859
NPI assigned
Jun 2, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801098682 MI Primary

Addresses

Primary practice location

4001 Walli Strasse Dr Ste B
Burton, MI 48509-1729

Mailing address

3120 Barth St
Flint, MI 48504-2971
Phone (810) 938-2973

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20250619001090 MI Practitioner - Clinical Social Worker 2668983214 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801098682MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Therapeutic Solutions, LLC Clinical CurrentSince Jun 2, 2025 Accepting new patients
Oceanside Services LLC PastSince Dec 14, 2025 Accepting new patients

Locations

4001 Walli Strasse Dr
Ste B
Burton, MI 48509
Phone (810) 306-2858

8401 Holly Rd
Ste 2
Grand Blanc, MI 48439
Phone (810) 286-3959

Organizations & group practices 2

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": "1748822400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1649163387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3120 BARTH ST",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485042971",
            "telephone_number": "810-938-2973"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 WALLI STRASSE DR STE B",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485091729",
            "telephone_number": "810-306-2858",
            "fax_number": "810-306-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH-HAIRSTON",
        "first_name": "MARY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-02",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burton, MI

Sources for this page

Verify at the official NPI Registry.