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NPI Code Detail

MEDICARE: MS. DAWN MICHELLE SMITH LLMSW-CLINICAL

MEDICARE: MS. DAWN MICHELLE SMITH LLMSW-CLINICAL
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 Worker6801107361MI

General Provider Information

NPI Number : 1891309258
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DAWN MICHELLE SMITH LLMSW-CLINICAL
Provider Business Mailing Address
First Line : 1402 S SAGINAW ST
Second Line :
City : FLINT
State : MI
Zip : 48503-3705
Country : US
Telephone Number : 810-240-3512
Fax Number :
Provider Business Practice Location Address
First Line : 1402 S SAGINAW ST
Second Line :
City : FLINT
State : MI
Zip : 48503-3705
Country : US
Telephone Number : 810-240-3512
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/03/2020
Last Update Date : 02/10/2026

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