Ellen Victoria Smiecinski, LMSW, ACSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801058599 Issued in MI

Practice address

19291 Northline Rd
Southgate, MI 48195-2220

Phone

(734) 287-1500

Fax

(734) 287-1660

NPI assigned

Nov 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770658197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16268 TRUWOOD ST",
            "city": "WOODHAVEN",
            "state": "MI",
            "postal_code": "481831622",
            "telephone_number": "734-675-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19291 NORTHLINE RD",
            "city": "SOUTHGATE",
            "state": "MI",
            "postal_code": "481952220",
            "telephone_number": "734-287-1500",
            "fax_number": "734-287-1660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIECINSKI",
        "first_name": "ELLEN",
        "middle_name": "VICTORIA",
        "name_prefix": "Mrs.",
        "credential": "LMSW, ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801058599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joyce Slaim
• Natalie Elaine Sliva
• Kristin Michelle Smaha, MA, LLPC
• Lorna Ahvion-Diane Small
• Mark Andrew Small, LMSW
• Linda Nina Smith-Cummings, 09/2001
• Amber Smith
• Bianca Lenise Smith, LLMSW
• Braylyn Smith
• Cassandra Edmonson Smith, RN

• Clinical Social Worker in Southgate, MI
• Providers in Southgate, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.