Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Superior Functional Psychotherapy, PLLC

Organization Clinical Social Worker · NPI 1174401848

Lake Superior Functional Psychotherapy, PLLC is a Clinical Social Worker in Marquette, Michigan. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

104 Coles Dr Ste D
Marquette, MI 49855-4059
Phone: (906) 458-0914
Fax: (906) 205-0498
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X

Record details

NPI number1174401848
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Carol Smith — Owner · (906) 458-0914
Other names Carol Dollar Smith, Msw.Llc
NPI enumeratedAugust 22, 2025
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026
Mailing address310 E Michigan St, Marquette, MI 49855-3826

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