Organization Active NPI

Diane S Smith PC

  • Clinical Social Worker
  • Grosse Pointe Farms, MI
National Provider Identifier
1730144239
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801017113 Issued in MI
Legal business name
DIANE S SMITH PC
Practice address
119 Kercheval Ave
Grosse Pointe Farms, MI 48236-3696
Phone
(313) 881-2010
Fax
(313) 882-7424
NPI assigned
Apr 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Authorized official

Name
Diane Sharon Smith, PHD APRN NP CNS
Title
President
Phone
(313) 882-7424

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical PsychologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 103TC0700X 6301007629 MI
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 6801017113 MI Primary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 363LP0808X 110675 MI
Psychiatric/Mental Health Clinical Nurse SpecialistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 364SP0808X 110675 MI

Addresses

Primary practice location

119 Kercheval Ave
Grosse Pointe Farms, MI 48236-3696

Mailing address

1506 Lochmoor Blvd
Grosse Pointe Woods, MI 48236-4016
Phone (313) 881-2010

National Provider Directory

National Provider Directory

Locations

119 Kercheval Ave
Ste 7
Grosse Pointe, MI 48236
Phone (313) 882-7424

119 Kercheval
Ste 5
Grosse Pointe, MI 48236
Phone (313) 881-2010

119 Kercheval Ste 5
Grosse Pointe Farms, MI 48236
Phone (313) 881-2010

119 Kercheval Ave 7
Grosse Pointe Farms, MI 48236
Phone (313) 882-7424

119 Kercheval Ave
Grosse Pointe Farms, MI 48236
Phone (313) 881-2010

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1730144239",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1506 LOCHMOOR BLVD",
            "city": "GROSSE POINTE WOODS",
            "state": "MI",
            "postal_code": "482364016",
            "telephone_number": "313-881-2010",
            "fax_number": "313-882-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 KERCHEVAL AVE",
            "city": "GROSSE POINTE FARMS",
            "state": "MI",
            "postal_code": "482363696",
            "telephone_number": "313-881-2010",
            "fax_number": "313-882-7424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIANE S SMITH PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-18",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "DIANE",
        "authorized_official_middle_name": "SHARON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "313-882-7424",
        "authorized_official_credential": "PHD APRN NP CNS"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychologist, Clinical",
            "state": "MI",
            "license": "6301007629",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801017113",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MI",
            "license": "110675",
            "primary": false
        },
        {
            "code": "364SP0808X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health",
            "state": "MI",
            "license": "110675",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Farms, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.