Active NPI
Regina Marie Smith, LMSW
- Clinical Social Worker
- Farmington Hills, MI
National Provider Identifier
1972800654
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801067714
- Practice address
- 28119 Grand Duke Dr
Farmington Hills, MI 48334-5218 - Phone
- (248) 476-2229
- NPI assigned
- Feb 16, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801067714 | MI | Primary |
Addresses
Primary practice location
28119 Grand Duke Dr
Farmington Hills, MI 48334-5218
Mailing address
14802 Crescentwood Ave
Eastpointe, MI 48021-2161
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801067714 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
| Senior Counseling Services, LLC | Clinical | Past | Accepting new patients |
| Wayne Center | Clinical | Past | Accepting new patients |
| New Center Community Mental Health Services | Past | Accepting new patients | |
| New Center Community Mental Health Services | Past | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616
Organizations & group practices 5
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Detroit, MI
- NPI 1306864129
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Detroit, MI
- NPI 1588672091
-
- Clinical Psychologist
- Farmington Hills, MI
- NPI 1639283492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297814400000",
"number": "1972800654",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14802 CRESCENTWOOD AVE",
"city": "EASTPOINTE",
"state": "MI",
"postal_code": "480212161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28119 GRAND DUKE DR",
"city": "FARMINGTON HILLS",
"state": "MI",
"postal_code": "483345218",
"telephone_number": "248-476-2229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMITH",
"first_name": "REGINA",
"middle_name": "MARIE",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-02-16",
"last_updated": "2011-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801067714",
"primary": true
}
],
"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 Feb 16, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.