Individual provider Active NPI

Hillary M Smith, LLMSW

  • Social Worker
  • Kalamazoo, MI
National Provider Identifier
1720545619
Registry record updated Nov 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801103808 Issued in MI
Practice address
4000 Portage St
Ste 111
Kalamazoo, MI 49001-4962
Phone
(269) 365-0128
Fax
(269) 350-5733
NPI assigned
Feb 27, 2019
Last updated
Nov 17, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801103808 MI Primary

Addresses

Primary practice location

4000 Portage St
Ste 111
Kalamazoo, MI 49001-4962

Mailing address

4000 Portage St
Ste 111
Kalamazoo, MI 49001-4962
Phone (269) 365-0128

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
I20230502003229 MI Practitioner - Clinical Social Worker 0244695930 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4000 Portage St
Suite 111
Kalamazoo, MI 49001-4962
Phone (269) 365-0128

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801103808MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
True2U Counseling LLP CurrentSince Nov 1, 2021 Accepting new patients
Choices for Change Past Accepting new patients
Choices for Change Counseling Agency LPC Past Accepting new patients

Locations

4000 Portage St
Ste 111
Kalamazoo, MI 49001
Phone (269) 365-0128

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1720545619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 PORTAGE ST",
            "address_2": "STE 111",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014962",
            "telephone_number": "269-365-0128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 PORTAGE ST",
            "address_2": "STE 111",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490014962",
            "telephone_number": "269-365-0128",
            "fax_number": "269-350-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "HILLARY",
        "middle_name": "M",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-27",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801103808",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.