MR. TRAVIS MARK SMITH LLBSW - NPI 1538599006

Q: What is Travis Smith's NPI number?

The NPI number for Travis Smith is 1538599006. It was assigned to this individual provider in the NPPES registry on November 20, 2013. The provider is also known as Mr. Travis Mark Smith Llbsw.

Q: What is Travis Smith's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Travis Smith was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Mr. Travis Mark Smith Llbsw NPPES

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

MR. TRAVIS MARK SMITH LLBSW (NPI 1538599006) is an individual social worker in Troy, Michigan, licensed in Michigan (6802087942) and active in the NPI registry since November 2013. He maintains a secondary practice location in Southgate.

NPPES Registry Identity

NPI1538599006

Entity TypeIndividualMale

Primary Taxonomy104100000X

Provider Legal NameMR. TRAVIS MARK SMITHCredential: LLBSW

Location Address1800 W BIG BEAVER RD STE 150Troy, MI 48084-3535

Mailing Address1800 W Big Beaver Rd Ste 150Troy, MI 48084-3535 · (248) 918-5600

Phone(248) 918-5600

Sole ProprietorNo

Enumeration DateNovember 20, 2013

Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration

✔ NPI 1538599006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MI · 6802087942

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

1800 W BIG BEAVER RD STE 150, Troy, MI 48084

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Other Names 1

Professional Name (2)Mr. Travis Mark Smith Llbsw

Secondary Practice Location 1

Location 114799 Dix Toledo RdSouthgate, MI 48195-2507 · Phone (313) 287-6702

Other Identifiers 1

Medicaid171M00000XMI

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.

ALEXA KOMIC

Behavior Technician