Mindful Life Practice, LLC
NPI 1053781765ActiveOrganization· Social Worker, Clinical· Traverse City, MI
Social Worker, Clinical in Traverse City, Michigan, registered in NPPES in October 2015. The authorized official on file is Linda Smith, LMSW, Partner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1053781765 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 7, 2015 |
| Last updated in NPPES | Jan 17, 2025 |
| Certified by provider | Jan 17, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 6801092522 | MI |
| Counselor, Mental Health | 101YM0800X | 6401009566 | MI |
| Social Worker, Clinical | 1041C0700X | 6801093556 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (MI) |
|---|
Other clinical social workers in Traverse City
- 1013287614
- 1033375720
- 1033847694
- 1043968423
- 1073099784
- 1083394183
- 1093465585
- 1104587815
- 1124725932
- 1124860135
- 1134025083
- 1144702572
All 316 clinical social workers in Traverse City · All clinical social workers in Michigan