Individual provider Active NPI

Christy Marie Daenzer, LLMSW

  • Clinical Social Worker
  • Fenton, MI
National Provider Identifier
1831928548
Registry record updated Jan 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6851117983 Issued in MI
Practice address
15173 North Rd Ste 100
Fenton, MI 48430-1381
Phone
(810) 771-4074
NPI assigned
Jul 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6851117983 MI Primary

Addresses

Primary practice location

15173 North Rd Ste 100
Fenton, MI 48430-1381

Mailing address

2354 Ross St
Grand Blanc, MI 48439-4343
Phone (616) 824-1770

Other practice location 1

4500 Cascade Rd SE
Grand Rapids, MI 49546-3665
Phone (616) 209-8403

Other identifiers 1

IdentifierTypeStateIssuer
1831928548MedicaidMI

Other names 1

  • Christy Marie Smith Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6851117983MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Creekside Counseling Group LLC Clinical CurrentSince Aug 4, 2024 Accepting new patients

Locations

15173 North Rd
Ste 100
Fenton, MI 48430
Phone (810) 208-0879

Organizations & group practices 1

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": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768780800000",
    "number": "1831928548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2354 ROSS ST",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484394343",
            "telephone_number": "616-824-1770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15173 NORTH RD STE 100",
            "city": "FENTON",
            "state": "MI",
            "postal_code": "484301381",
            "telephone_number": "810-771-4074"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4500 Cascade Rd SE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495463665",
            "country_code": "US",
            "telephone_number": "616-209-8403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAENZER",
        "first_name": "CHRISTY",
        "middle_name": "MARIE",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2026-01-19",
        "certification_date": "2026-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851117983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831928548",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHRISTY",
            "last_name": "SMITH",
            "middle_name": "MARIE",
            "credential": "LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; 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.