Individual provider Active NPI

Amy Smolski, LMSW

  • Clinical Social Worker
  • Shelby Township, MI
National Provider Identifier
1699489898
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801074372 Issued in MI
Practice address
12400 23 Mile Rd Ste 3
Shelby Township, MI 48315-2620
Phone
(586) 280-1092
Fax
(810) 215-1135
NPI assigned
Jan 11, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 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 6801074372 MI Primary

Addresses

Primary practice location

12400 23 Mile Rd Ste 3
Shelby Township, MI 48315-2620

Mailing address

210 W Highland Rd Ste 102
Highland, MI 48357-4573
Phone (248) 529-3167

Other practice location 1

210 W Highland Rd Ste 102
Highland, MI 48357-4573
Phone (248) 529-3167

Other identifiers 1

IdentifierTypeStateIssuer
1699489898MedicaidMI

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
I20240606000111 MI Practitioner - Clinical Social Worker 1052853082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Behavioral Clinic LLCGroup PAC ID 0446503130, 13 clinicians

Practice addresses (Care Compare)

210 W Highland Rd
Suite 102
Highland, MI 48357-4573
Phone (248) 529-3167

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801074372MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Behavioral Clinic LLC CurrentSince Aug 20, 2025 Accepting new patients
BCS of Michigan LLC Clinical CurrentSince May 29, 2024 Accepting new patients
Geriatric Psychiatric Services PLLC Past Accepting new patients

Locations

3265 122nd Ave
#R2
Allegan, MI 49010
Phone (269) 673-2102

210 W Highland Rd
Ste 102
Highland, MI 48357
Phone (248) 529-3167

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

5500 Fort St
Trenton, MI 48183
Phone (734) 287-3000

Organizations & group practices 3

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": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756166400000",
    "number": "1699489898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W HIGHLAND RD STE 102",
            "city": "HIGHLAND",
            "state": "MI",
            "postal_code": "483574573",
            "telephone_number": "248-529-3167",
            "fax_number": "810-215-1135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12400 23 MILE RD STE 3",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483152620",
            "telephone_number": "586-280-1092",
            "fax_number": "810-215-1135"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 W Highland Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Highland",
            "state": "MI",
            "postal_code": "483574573",
            "country_code": "US",
            "telephone_number": "248-529-3167",
            "fax_number": "810-215-1135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMOLSKI",
        "first_name": "AMY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2025-08-26",
        "certification_date": "2025-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801074372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1699489898",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby Township, MI

Sources for this page

Verify at the official NPI Registry.