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MARK DAVID SMALLER LCSW, PH.D.
NPI 1255962049
Social Worker - Clinical in Douglas, MI

Active since January 30, 2020Opted out of Medicare · through Jul 16, 2028
45 BLUE STAR HWY, DOUGLAS, MI 49406(312) 731-9251 Get Directions Write a Review

NPPES record last updated: January 30, 2020. Verified against the NPPES registry weekly; last sync: September 20, 2026.

About Mark David Smaller Lcsw, Ph.d. NPPES

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

MARK DAVID SMALLER LCSW, PH.D. (NPI 1255962049) is an individual clinical provider in Douglas, Michigan, licensed in Michigan (6801089792) and active in the NPI registry since January 2020. He has opted out of Medicare through July 16, 2028.

NPPES Registry Identity

NPI1255962049
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMARK DAVID SMALLERCredential: LCSW, PH.D.
Location Address45 BLUE STAR HWYDouglas, MI 49406-5139
Mailing AddressPo Box 93Douglas, MI 49406-0093 · (312) 731-9251
Phone(312) 731-9251
Sole ProprietorYes
Enumeration DateJanuary 30, 2020
✔ NPI 1255962049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MI · 6801089792
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, Douglas, MI 49406
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Mark David Smaller Lcsw, Ph.d. 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 16, 2020 through July 16, 2028.

Opt-Out Effective DateJuly 16, 2020
Opt-Out In Effect ThroughJuly 16, 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.

FOCUS POINT BEHAVIORAL HEALTH, PLLC
Counselor (Professional)
45 BLUE STAR HWY
DOUGLAS, MI 49406
Allegan County (269) 767-0563
RAECHEL HARDIN LPC
Counselor (Professional)
45 BLUE STAR HWY
DOUGLAS, MI 49406
Allegan County (269) 767-0563

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 Mark Smaller's NPI number?

The NPI number for Mark Smaller is 1255962049. It was assigned to this individual provider in the NPPES registry on January 30, 2020.

Where is Mark Smaller located?

Mark Smaller practices at 45 Blue Star Hwy, Douglas, MI 49406. The listed phone number is (312) 731-9251.

What is Mark Smaller's specialty?

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

Is Mark Smaller enrolled in Medicare?

No. Mark Smaller has opted out of Medicare through July 16, 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 Mark Smaller was last updated on January 30, 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.