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

Michael Smith, LSW

Individual provider Clinical Social Worker · NPI 1689216079

Michael Smith, LSW is a Clinical Social Worker in Lake Villa, Illinois. Works from 2 locations. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2019
Specialties on file
2
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

See every abbreviation used in this directory →

Practice location Address checks out

89 Cedar Ave
Lake Villa, IL 60046-8411
Phone: (847) 265-7300
Fax: (847) 265-7301
Show map & directions

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

Additional practice locations (1)

  • 2424 S 102nd St, Milwaukee, WI 53227-2106 — (800) 767-4411

Specialties & licences

Social Worker (primary) Taxonomy 104100000X
Clinical Social Worker Taxonomy 1041C0700X · Licence 11170 (WI)

Record details

NPI number1689216079
Entity typeIndividual (Type 1)
GenderMale
Credentials LSW
Sole proprietorNo
NPI enumeratedOctober 17, 2019
Last updated in NPPESFebruary 24, 2025
Certification dateFebruary 24, 2025
Mailing addressPo Box 764, Lake Villa, IL 60046-0764

Other providers in Lake Villa