Individual provider Active NPI

Evelyn Schulz Smith, M.S.W.

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1730128794
Registry record updated Nov 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
010509 Issued in MI
Practice address
33045 Hamilton CT
Suite W-300
Farmington Hills, MI 48334-3385
Phone
(248) 848-1558
Fax
(248) 848-3592
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 010509 MI Primary
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

33045 Hamilton CT
Suite W-300
Farmington Hills, MI 48334-3385

Mailing address

33045 Hamilton CT
Suite W-300
Farmington Hills, MI 48334-3385
Phone (248) 848-1558

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
010509MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gary J Gunther PC PastSince Oct 23, 2022 Accepting new patients
Carol a. Roekle, M.D., P.C. Past Accepting new patients

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1290038400000",
    "number": "1730128794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33045 HAMILTON CT",
            "address_2": "SUITE W-300",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343385",
            "telephone_number": "248-848-1558",
            "fax_number": "248-848-3592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33045 HAMILTON CT",
            "address_2": "SUITE W-300",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343385",
            "telephone_number": "248-848-1558",
            "fax_number": "248-848-3592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "EVELYN",
        "middle_name": "SCHULZ",
        "name_prefix": "Ms.",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2010-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "010509",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; 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.