Active NPI
Walter A Smart, LBSW
- Social Worker
- Manistee, MI
National Provider Identifier
1992973663
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6802013586
- Practice address
- 395 3Rd St
Manistee, MI 49660-1718 - Phone
- (877) 398-2013
- Fax
- (231) 723-1735
- NPI assigned
- Feb 15, 2008
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6802013586 | MI | Primary |
Addresses
Primary practice location
395 3Rd St
Manistee, MI 49660-1718
Mailing address
2141 Suida Rd
P.O. Box 552
Manistee, MI 49660-9204
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6802013586 | Other | MI | STATE OF MICHIGAN LICENSE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6802013586 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manistee Benzie Community Mental Health | Past | Accepting new patients | |
| Manistee Benzie Community Mental Health | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Community/Behavioral Health Agency
- Manistee, MI
- NPI 1063581205
-
- Primary Care Clinic/Center
- Manistee, MI
- NPI 1366806432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203033600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1203033600000",
"number": "1992973663",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2141 SUIDA RD",
"address_2": "P.O. BOX 552",
"city": "MANISTEE",
"state": "MI",
"postal_code": "496609204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 3RD ST",
"city": "MANISTEE",
"state": "MI",
"postal_code": "496601718",
"telephone_number": "877-398-2013",
"fax_number": "231-723-1735"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SMART",
"first_name": "WALTER",
"middle_name": "A",
"credential": "LBSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-15",
"last_updated": "2008-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6802013586",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF MICHIGAN LICENSE",
"identifier": "6802013586",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Manistee, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.