Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MISS JALISA SHAWTAE SMITH LLMSW
NPI 1003631862
Case Manager/Care Coordinator in Grand Rapids, MI

Q: What is Jalisa Smith's NPI number?

The NPI number for Jalisa Smith is 1003631862. It was assigned to this individual provider in the NPPES registry on November 18, 2024.

Q: What is Jalisa Smith's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

Q: When was this NPI record last updated?

The NPPES record for Jalisa Smith was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 18, 2024

790 FULLER AVE NE, GRAND RAPIDS, MI 49503(616) 336-3909 Get Directions Write a Review

NPPES record last updated: October 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 7, 2026, Oct 1, 2026, Nov 18, 2024 (3 updates tracked since 2024).

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About Miss Jalisa Shawtae Smith Llmsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS JALISA SHAWTAE SMITH LLMSW (NPI 1003631862) is an individual case manager/care coordinator provider in Grand Rapids, Michigan and active in the NPI registry since November 2024. She maintains a secondary practice location in Grand Rapids.

NPPES Registry Identity

NPI1003631862

Entity TypeIndividualFemale

Primary Taxonomy171M00000X

Provider Legal NameMISS JALISA SHAWTAE SMITHCredential: LLMSW

Location Address790 FULLER AVE NEGrand Rapids, MI 49503-1918

Mailing Address6147 28th St Se Ste 14Grand Rapids, MI 49546-6934 · (616) 207-3075

Phone(616) 336-3909

Sole ProprietorYes

Enumeration DateNovember 18, 2024

Last NPPES UpdateOctober 7, 20263 updates tracked since enumeration

NPPES CertifiedOctober 7, 2026

✔ NPI 1003631862 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers

Taxonomy Code171M00000X

Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.

Also ListedSocial WorkerTaxonomy 104100000X · License 6851119357 (MI)

790 FULLER AVE NE, Grand Rapids, MI 49503

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Secondary Practice Location 1

Location 16147 28th St SE Ste 14Grand Rapids, MI 49546-6934 · Phone (616) 207-3075

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANA DUARTE-MENENDEZ LMSW

Social Worker (Clinical)