Ms Idell Smith, MSW is a
Social Worker - Clinical based in Redford, Michigan. Ms Idell Smith is licensed to practice in * (Not Available) (license number ) and her current practice location is
9315 Telegraph Rd, Redford, Michigan. She can be reached at her office (for appointments etc.) via phone at
(313) 450-4500.
NPI number for Ms Idell Smith is 1467615492 and her current mailing address is 91 Glendale St, Highland Park, Michigan. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1467615492.
Healthcare Provider's Profile
| Full Name | Ms Idell Smith |
|---|
| Gender | Female |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 9315 Telegraph Rd, Redford, Michigan |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1467615492
- Provider Enumeration Date: 07/09/2008
- Last Update Date: 05/26/2022
Medical Identifiers
Medical identifiers for Ms Idell Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1467615492 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 820317 (Michigan) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | 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. Ms Idell 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 |
|---|
Ms Idell Smith, MSW
91 Glendale St,
Highland Park, MI 48203-3274
Ph: (313) 273-0077 | Ms Idell Smith, MSW
9315 Telegraph Rd,
Redford, MI 48239-1260
Ph: (313) 450-4500 |
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