Diane Sharon Smith, PHD MSW APRN BC CNS is a
Clinical Nurse Specialist - Psychiatric/mental Health based in Grosse Pointe Farms, Michigan. Diane Sharon Smith is licensed to practice in Michigan (license number 110675) and her current practice location is
119 Kercheval Ave, Grosse Pointe Farms, Michigan. She can be reached at her office (for appointments etc.) via phone at
(313) 881-2010.
NPI number for Diane Sharon Smith is 1558573154 and her current mailing address is 1506 Lochmoor Boulevard, Grosse Pointe Woods, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1558573154.
Healthcare Provider's Profile
| Full Name | Diane Sharon Smith |
|---|
| Gender | Female |
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| Speciality | Clinical Nurse Specialist - Psychiatric/mental Health |
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| Location | 119 Kercheval Ave, Grosse Pointe Farms, Michigan |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1558573154
- Provider Enumeration Date: 05/04/2007
- Last Update Date: 07/09/2007
Medical Identifiers
Medical identifiers for Diane Sharon Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1558573154 | NPI | - | NPPES |
| 6301007629 | Other | MI | CLINICAL PSYCHOLOGIST |
| 5008661290 | Other | MI | BLUE CROSS BLUE SHIELD |
| 6801017113 | Other | MI | CMSW |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1041C0700X | Social Worker - Clinical | 6801017113 (Michigan) | Primary |
| 103TC0700X | Psychologist - Clinical | 6301007629 (Michigan) | Primary |
| 363LP0808X | Nurse Practitioner - Psychiatric/mental Health | 110675 (Michigan) | Primary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 110675 (Michigan) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diane Sharon Smith is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Diane Sharon Smith, PHD MSW APRN BC CNS
1506 Lochmoor Boulevard,
Grosse Pointe Woods, MI 48236-4016
Ph: (313) 885-0099 | Diane Sharon Smith, PHD MSW APRN BC CNS
119 Kercheval Ave,
Grosse Pointe Farms, MI 48236
Ph: (313) 881-2010 |
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