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NPI Code Detail

MEDICARE: MRS. SARAH M SMITH LMSW

MEDICARE:  MRS. SARAH M SMITH  LMSW
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
11041C0700XClinical Social Worker6801094367MI

General Provider Information

NPI Number : 1629332879
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SARAH M SMITH LMSW
Provider Business Mailing Address
First Line : 1221 BOWERS ST UNIT 2230
Second Line :
City : BIRMINGHAM
State : MI
Zip : 48012-7091
Country : US
Telephone Number : 248-677-1516
Fax Number :
Provider Business Practice Location Address
First Line : 1221 BOWERS ST UNIT 2230
Second Line :
City : BIRMINGHAM
State : MI
Zip : 48012-7091
Country : US
Telephone Number : 248-677-1516
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/02/2012
Last Update Date : 09/10/2025

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Directions to “ MRS. SARAH M SMITH LMSW” Practice Location

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