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Sally Ann Smith , LMSW, BCBA

Behavior Analyst β€’ Grand Rapids, MI

Active NPI 1669057287 Individual Practitioner Female Practitioner
Practice location in NPPES

5242 Plainfield Ave Ne Ste A
Grand Rapids, MI 495251084

Call 6163632200 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

5242 Plainfield Ave Ne Ste A

Grand Rapids, MI 495251084

Telephone 6163632200
Organization at the Same NPPES Address or Phone
Behavior Health Partners Plc Facility NPI 1326242736

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Compared with the same specialty in Grand Rapids and Michigan

252 active clinicians are listed under Behavior Analyst with a practice address in Grand Rapids, MI (3,195 in Michigan).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Grand Rapids

0% of these 252 clinicians have the CMS telehealth indicator.

0% of these 252 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-05-30
Behavior Analyst Primary Specialty

NUCC Taxonomy Code: 103K00000X

A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

Social Worker - Clinical

NUCC Taxonomy Code: 1041C0700X

License # reported to NPPES MI 6801084828

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Michigan Department of Licensing and Regulatory Affairs.
Look Up on State Board Site

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ‘€
Provider Name / Credentials Updated June 05, 2024

Recorded as SALLY SMITH, LMSW, BCBA

βœ…
NPI Profile Active March 15, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 15, 2021

Registered at 5242 PLAINFIELD AVE NE STE A, GRAND RAPIDS, MI 495251084 (Tel: 6163632200)

πŸ“
Business Mailing Address (Initial Record) March 15, 2021

Registered at 19 RADNY DR, LOWELL, MI 493319131 (Tel: 6169017180)

πŸ‘€
Provider Name / Credentials (Initial Record) March 15, 2021

Recorded as SALLY SMITH, LMSW

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2021

Social Worker (license number reported to NPPES: MI 6801084828)

🟒
Initial NPI Registration & Enumeration March 15, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1669057287
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2021
Last Update: June 05, 2024
Sole Proprietor: No

Mailing Address

19 Radny Dr

Lowell, MI 493319131

Phone: 6169017180

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.