Justine Nicole Smith, LMSW is a medicare enrolled "Social Worker - Clinical" provider in Sumner, Michigan. Her current practice location is
4061 S West County Line Rd, Sumner, Michigan. You can reach out to her office (for appointments etc.) via phone at
(616) 920-9025.
Justine Nicole Smith is licensed to practice in Michigan (license number ) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1659956167.
Healthcare Provider's Profile
| Full Name | Justine Nicole Smith |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 4061 S West County Line Rd, Sumner, Michigan |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
NPI Data:
- NPI Number: 1659956167
- Provider Enumeration Date: 03/16/2021
- Last Update Date: 09/02/2025
Medicare PECOS Information:
- PECOS PAC ID: 7618322561
- Enrollment ID: I20231012000485
Medical Identifiers
Medical identifiers for Justine Nicole Smith such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1659956167 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 1041C0700X | Social Worker - Clinical | (Michigan) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Justine Nicole Smith allows following entities to bill medicare on her behalf.
| Entity Name | Therapy Today Counseling And Consulting Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1629322003 PECOS PAC ID: 2567607062 Enrollment ID: O20130405000017 |
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| Entity Name | Counseling Center Of West Michigan Llc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1437610730 PECOS PAC ID: 9234469255 Enrollment ID: O20190918000332 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Justine Nicole Smith is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Justine Nicole Smith, LMSW 4061 S West County Line Rd, Sumner, MI 48889-9617 Ph: (616) 920-9025 | Justine Nicole Smith, LMSW 4061 S West County Line Rd, Sumner, MI 48889-9617 Ph: (616) 920-9025 |
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