Michael Smart, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.004761 Issued in IL

Practice address

428 S 36TH St
Quincy, IL 62301-5924

Phone

(217) 224-6300

Fax

(217) 224-4329

NPI assigned

Oct 29, 2015

Last updated

Oct 29, 2015By the provider in NPPES

Sex

Male

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": "1446076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1811369820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E LAHARPE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635014520",
            "telephone_number": "660-665-1962",
            "fax_number": "660-665-3989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S 36TH ST",
            "city": "QUINCY",
            "state": "IL",
            "postal_code": "623015924",
            "telephone_number": "217-224-6300",
            "fax_number": "217-224-4329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMART",
        "first_name": "MICHAEL",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.004761",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Site Vision Center
• Site Vision Center, PC
• Siu Healthcare
• Siuphysicians & Surgeons, Inc. (Siu Quincy Family Practice Center)
• Smallwood Enterprises Inc.
• Abbas Smiley, MD, PHD
• Aaron Smith, DMD
• Alan Smith, PHARMD
• Alivia Smith
• Brendan Scott Smith, DMD

• Clinical Social Worker in Quincy, IL
• Providers in Quincy, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.