MR. MARK ANDREW SMALL LMSW
NPI 1649430653
Social Worker - Clinical in Southgate, MI

Active since June 12, 2008PECOS EnrolledAccepts Medicare Assignment
19291 NORTHLINE RD, SOUTHGATE, MI 48195(734) 287-1500(734) 287-1660 Get Directions Write a Review

NPPES record last updated: May 19, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Mark Andrew Small Lmsw NPPES

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

MR. MARK ANDREW SMALL LMSW (NPI 1649430653) is an individual clinical provider in Southgate, Michigan, licensed in Michigan (6801057010) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, maintains a secondary practice location in Inkster, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1649430653
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. MARK ANDREW SMALLCredential: LMSW
Location Address19291 NORTHLINE RDSouthgate, MI 48195-2220
Mailing Address5105 Prentis DrTroy, MI 48085-3483 · (248) 526-2859
Fax(734) 287-1660
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateJune 12, 2008
Last NPPES UpdateMay 19, 2026
NPPES CertifiedMay 19, 2026
NPI 1649430653 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 · 6801057010
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.
19291 NORTHLINE RD, Southgate, MI 48195

Secondary Practice Location 1

Location 12700 Hamlin BlvdInkster, MI 48141-2206 · Phone (313) 561-5100

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Mark Andrew Small Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840272290
PECOS Enrollment IDI20110426000801
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48195 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $58.04 – $177.36
Typical copayment $0.00 (range $14.51 – $44.34)
Most-billed visit code NA
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Social Worker (Clinical)
19291 NORTHLINE RD
SOUTHGATE, MI 48195
Case Manager/Care Coordinator
19291 NORTHLINE RD
SOUTHGATE, MI 48195
Psychologist
19291 NORTHLINE RD
SOUTHGATE, MI 48195
Social Worker
19291 NORTHLINE RD
SOUTHGATE, MI 48195
Social Worker
19291 NORTHLINE RD
SOUTHGATE, MI 48195
Psychologist (Clinical)
19291 NORTHLINE RD
SOUTHGATE, MI 48195
Social Worker
19291 NORTHLINE RD
SOUTHGATE, MI 48195
Social Worker
19291 NORTHLINE RD
SOUTHGATE, MI 48195

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 Small's NPI number?

The NPI number for Mark Small is 1649430653. It was assigned to this individual provider in the NPPES registry on June 12, 2008.

Where is Mark Small located?

Mark Small practices at 19291 Northline Rd, Southgate, MI 48195. The listed phone number is (734) 287-1500.

What is Mark Small's specialty?

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

Is Mark Small enrolled in Medicare?

Yes. Mark Small is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Mark Small accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Oscar Insurance Company and Priority Health list Mark Small as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mark Small was last updated on May 19, 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.