KATHERINE R SMALLER PHD, L.C.S.W., M.ED.
NPI 1023442522
Social Worker - Clinical in Douglas, MI

Active since September 03, 2013Opted out of Medicare · through Jul 14, 2028
45 BLUE STAR HWY STE E, DOUGLAS, MI 49406(312) 771-9826 Get Directions Write a Review

NPPES record last updated: August 7, 2020. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Katherine R Smaller Phd, L.c.s.w., M.ed. NPPES

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

KATHERINE R SMALLER PHD, L.C.S.W., M.ED. (NPI 1023442522) is an individual clinical provider in Douglas, Michigan, licensed in Michigan (6801097474) and active in the NPI registry since September 2013. She has opted out of Medicare through July 14, 2028.

NPPES Registry Identity

NPI1023442522
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKATHERINE R SMALLERCredential: PHD, L.C.S.W., M.ED.
Location Address45 BLUE STAR HWY STE EDouglas, MI 49406-5139
Mailing AddressPo Box 93Douglas, MI 49406-0093
Sole ProprietorYes
Enumeration DateSeptember 3, 2013
Last NPPES UpdateAugust 7, 2020
NPPES CertifiedAugust 7, 2020
✔ NPI 1023442522 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in MI · 6801097474✔ Licensed in IL · 149.015824
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
45 BLUE STAR HWY STE E, Douglas, MI 49406

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Katherine R Smaller Phd, L.c.s.w., M.ed. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 14, 2020 through July 14, 2028.

Opt-Out Effective DateJuly 14, 2020
Opt-Out In Effect ThroughJuly 14, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

Social Worker (Clinical)
45 BLUE STAR HWY STE E
DOUGLAS, MI 49406
Social Worker (Clinical)
45 BLUE STAR HWY STE E
DOUGLAS, MI 49406

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Katherine Smaller's NPI number?

The NPI number for Katherine Smaller is 1023442522. It was assigned to this individual provider in the NPPES registry on September 3, 2013.

Where is Katherine Smaller located?

Katherine Smaller practices at 45 Blue Star Hwy Ste E, Douglas, MI 49406. The listed phone number is (312) 771-9826.

What is Katherine Smaller's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Katherine Smaller enrolled in Medicare?

No. Katherine Smaller has opted out of Medicare through July 14, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Katherine Smaller was last updated on August 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.