MRS. SHELLY JEAN SMITH (LMSW) – Clinical Social Worker, NPI 1386719771

MRS. SHELLY JEAN SMITH (LMSW) is a healthcare provider. based in Sandusky, Michigan. specializing in Clinical Social Worker. They hold the professional credentials LMSW. They hold a License No. 6801087591 (MI). The NPI Number for MRS. SHELLY JEAN SMITH (LMSW) is 1386719771

Main info

Female
Sole Proprietor
25 Years Of Experience
Accepts Medicare Assignment
Name
MRS. SHELLY JEAN SMITH (LMSW)
NPI
1386719771
Phone
(810) 648-4095
Address
1705 S. BANNER RD
Enumeration Date
21 November 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8106894760
Graduation Year
2001 (25 years ago)
PAC ID
9133305188
Group Practice PAC ID
2264755560
Professional Enrollment ID
I20110509000844
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. SHELLY JEAN SMITH (LMSW)

  • 1705, South Banner Road, Watertown Township, Sanilac County, Michigan, 48471, United States

    SANDUSKY, MI 48471

    Phone: (810) 648-4095

    Type: Mailing

  • 190, Delaware Street, Sandusky, Sanilac County, Michigan, 48471, United States

    SANDUSKY, MI 48471

    Phone: (810) 583-0333

    Fax: (810) 648-5107

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48471)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264755560View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Clinical Social WorkerMI

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Frequently asked questions

What is the 10-digit NPI for MRS. SHELLY JEAN SMITH (LMSW)?
MRS. SHELLY JEAN SMITH (LMSW) — NPI 1386719771 — is the standard way to identify this listing.
Is MRS. SHELLY JEAN SMITH (LMSW) still practicing?
MRS. SHELLY JEAN SMITH (LMSW) is currently listed as active in the public NPI registry.
What taxonomy line describes MRS. SHELLY JEAN SMITH (LMSW)?
For research purposes, treat MRS. SHELLY JEAN SMITH (LMSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect MRS. SHELLY JEAN SMITH (LMSW) on a map?
Expect Sandusky, Michigan as a primary anchor for MRS. SHELLY JEAN SMITH (LMSW) unless the record lists multiple sites.
Why does MRS. SHELLY JEAN SMITH (LMSW) have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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