Individual provider Active NPI

Michael Martin Smith, LCSW

  • Clinical Social Worker
  • North Adams, MA
National Provider Identifier
1700499712
Registry record updated Apr 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
222425 Issued in MA
Practice address
184 E Main St
North Adams, MA 01247-4404
Phone
(413) 398-2929
NPI assigned
Aug 28, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 5, 2024

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 222425 MA Primary

Addresses

Primary practice location

184 E Main St
North Adams, MA 01247-4404

Mailing address

1020 Simonds Rd
Williamstown, MA 01267-2102
Phone (203) 215-9818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20240503003324 MA Practitioner - Clinical Social Worker 8022458264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Optimal Healing LLCGroup PAC ID 1456716521, 6 clinicians

Practice addresses (Care Compare)

184 E Main St
North Adams, MA 01247-4404
Phone (413) 398-2929

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
222425MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Optimal Healing LLC CurrentSince Mar 11, 2024 Accepting new patients
Optimal Healing LLC Clinical CurrentSince May 29, 2022 Accepting new patients

Locations

184 E Main St
North Adams, MA 01247
Phone (413) 346-4505

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": "1598572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712275200000",
    "number": "1700499712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1020 SIMONDS RD",
            "city": "WILLIAMSTOWN",
            "state": "MA",
            "postal_code": "012672102",
            "telephone_number": "203-215-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "184 E MAIN ST",
            "city": "NORTH ADAMS",
            "state": "MA",
            "postal_code": "012474404",
            "telephone_number": "413-398-2929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "MICHAEL",
        "middle_name": "MARTIN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-08-28",
        "last_updated": "2024-04-05",
        "certification_date": "2024-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "222425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Adams, MA

Sources for this page

Verify at the official NPI Registry.