Provider Demographics
NPI:1811659139
Name:SMITHERS, SARAH CASSANDRA (LMSW)
Entity type:Individual
Prefix:
First Name:SARAH
Middle Name:CASSANDRA
Last Name:SMITHERS
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8009 BRAMBLEWOOD DR APT 2A
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48917-8778
Mailing Address - Country:US
Mailing Address - Phone:312-898-7927
Mailing Address - Fax:
Practice Address - Street 1:8009 BRAMBLEWOOD DR APT 2A
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48917-8778
Practice Address - Country:US
Practice Address - Phone:312-898-7927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-13
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68011107781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical