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NPI Code Detail

MEDICARE: JASMINE SMITH LMSW-C

MEDICARE: JASMINE SMITH LMSW-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker6801109336MI
21041C0700XClinical Social Worker112873TX

General Provider Information

NPI Number : 1538676309
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASMINE SMITH LMSW-C
Provider Business Mailing Address
First Line : 8122 HONEYTREE BLVD BLDG 60
Second Line :
City : CANTON
State : MI
Zip : 48187-4109
Country : US
Telephone Number : 313-467-3506
Fax Number :
Provider Business Practice Location Address
First Line : 5958 N CANTON CENTER RD STE 900
Second Line :
City : CANTON
State : MI
Zip : 48187-2740
Country : US
Telephone Number : 734-737-1200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/03/2018
Last Update Date : 04/11/2025

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Directions to “ JASMINE SMITH LMSW-C” Practice Location

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