MRS. ANNIE MICHELE SMITH L.C.S.W.
NPI 1902340730
Social Worker - Clinical in Decatur, IL

Active since December 13, 2016PECOS EnrolledAccepts Medicare Assignment
1770 E LAKE SHORE DR, #209, DECATUR, IL 62521(217) 423-6500 Get Directions Write a Review

NPPES record last updated: December 13, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mrs. Annie Michele Smith L.c.s.w. NPPES

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

MRS. ANNIE MICHELE SMITH L.C.S.W. (NPI 1902340730) is an individual clinical provider in Decatur, Illinois, licensed in Illinois (149.017107) and active in the NPI registry since December 2016. She is enrolled in Medicare PECOS and is a graduate of Other (2006).

NPPES Registry Identity

NPI1902340730
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMRS. ANNIE MICHELE SMITHCredential: L.C.S.W.
Location Address1770 E LAKE SHORE DR, #209Decatur, IL 62521-3832
Mailing Address1770 E. Lake Shore Dr., #209Decatur, IL 62522-3832 · (217) 423-6500
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateDecember 13, 2016
NPI 1902340730 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 IL · 149.017107
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.

1770 E LAKE SHORE DR, Decatur, IL 62521

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

Mrs. Annie Michele Smith L.c.s.w. 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 ID3173885506
PECOS Enrollment IDI20180326000263
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.
127 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62521 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 $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
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.

Urology
1770 E LAKE SHORE DR, SUITE 202
DECATUR, IL 62521
Internal Medicine
1770 E LAKE SHORE DR, SUITE 201
DECATUR, IL 62521
Obstetrics & Gynecology
1770 E LAKE SHORE DR, STE 309
DECATUR, IL 62521
Counselor (Professional)
1770 E LAKE SHORE DR
DECATUR, IL 62521
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
1770 E LAKE SHORE DR, SUITE 103
DECATUR, IL 62521
Social Worker (Clinical)
1770 E LAKE SHORE DR, SUITE 209
DACATUR, IL 62521
Pediatrics
1770 E LAKE SHORE DR
DECATUR, IL 62521
Clinic/Center (Ambulatory Surgical)
1770 E LAKE SHORE DR
DECATUR, IL 62521

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 Annie Smith's NPI number?

The NPI number for Annie Smith is 1902340730. It was assigned to this individual provider in the NPPES registry on December 13, 2016.

Where is Annie Smith located?

Annie Smith practices at 1770 E Lake Shore Dr #209, Decatur, IL 62521. The listed phone number is (217) 423-6500.

What is Annie Smith's specialty?

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

Is Annie Smith enrolled in Medicare?

Yes. Annie Smith 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.

When was this NPI record last updated?

The NPPES record for Annie Smith was last updated on December 13, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.