Mrs Katie Smith, LCSW is a
Social Worker - Clinical based in Edwardsburg, Michigan. Mrs Katie Smith is licensed to practice in Michigan (license number 6801106291) and her current practice location is
70755 Brande Creek Dr, Edwardsburg, Michigan. She can be reached at her office (for appointments etc.) via phone at
(574) 215-1816.
NPI number for Mrs Katie Smith is 1063137552 and her current mailing address is 70755 Brande Creek Dr, Edwardsburg, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063137552.
Healthcare Provider's Profile
Full Name | Mrs Katie Smith |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 70755 Brande Creek Dr, Edwardsburg, Michigan |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063137552
- Provider Enumeration Date: 10/06/2022
- Last Update Date: 10/06/2022
Medical Identifiers
Medical identifiers for Mrs Katie Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063137552 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 6801106291 (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. Mrs Katie 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 |
Mrs Katie Smith, LCSW 70755 Brande Creek Dr, Edwardsburg, MI 49112-9109 Ph: () - | Mrs Katie Smith, LCSW 70755 Brande Creek Dr, Edwardsburg, MI 49112-9109 Ph: (574) 215-1816 |
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