Lake Superior Functional Psychotherapy, PLLC
NPI 1174401848ActiveOrganization· Social Worker, Clinical· Marquette, MI
Social Worker, Clinical in Marquette, Michigan, registered in NPPES in August 2025. The authorized official on file is Carol A. Smith, LMSW-C, Owner.
Overview
| NPI | 1174401848 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 22, 2025 |
| Last updated in NPPES | May 15, 2026 |
| Certified by provider | May 15, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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