LAKE SUPERIOR FUNCTIONAL PSYCHOTHERAPY, PLLC
NPI 1174401848
Social Worker - Clinical in Marquette, MI

Active since August 22, 2025
104 COLES DR STE D, MARQUETTE, MI 49855(906) 458-0914(906) 205-0498 Get Directions Write a Review

NPPES record last updated: May 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lake Superior Functional Psychotherapy, Pllc NPPES

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

LAKE SUPERIOR FUNCTIONAL PSYCHOTHERAPY, PLLC (NPI 1174401848), doing business as Carol Dollar Smith, Msw.llc, is a healthcare organization registered as a clinical in Marquette, Michigan and active in the NPI registry since August 2025. The organization lists Carol A Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1174401848
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameLAKE SUPERIOR FUNCTIONAL PSYCHOTHERAPY, PLLC
Location Address104 COLES DR STE DMarquette, MI 49855-4059
Mailing Address310 E Michigan StMarquette, MI 49855-3826 · (906) 458-0914 · Fax (906) 205-0498
Fax(906) 205-0498
Organization SubpartNo
Authorized OfficialCarol A SmithOwner · (906) 458-0914
Enumeration DateAugust 22, 2025
Last NPPES UpdateMay 15, 2026
NPPES CertifiedMay 15, 2026
NPI 1174401848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
104 COLES DR STE D, Marquette, MI 49855

Other Names 1

Former Legal Business NameCarol Dollar Smith, Msw.llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Social Worker
104 COLES DR STE D
MARQUETTE, MI 49855

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 Lake Superior Functional Psychotherapy, PLLC's NPI number?

The NPI number for Lake Superior Functional Psychotherapy, PLLC is 1174401848. It was assigned to this organization in the NPPES registry on August 22, 2025. The provider was formerly known as Carol Dollar Smith, MSW.LLC.

Where is Lake Superior Functional Psychotherapy, PLLC located?

Lake Superior Functional Psychotherapy, PLLC is located at 104 Coles Dr Ste D, Marquette, MI 49855. The listed phone number is (906) 458-0914.

What is Lake Superior Functional Psychotherapy, PLLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Lake Superior Functional Psychotherapy, PLLC was last updated on May 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.