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

Mrs. Nichole Amber Smith

Individual provider Clinical Social Worker · NPI 1467065409

Mrs. Nichole Amber Smith is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2021, 5 years ago. Practices with Cherry Street Services Inc, a 58-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
5
Licensed in
MI
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

100 Cherry St SE
Grand Rapids, MI 49503-4526
Phone: (616) 965-8200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1346 Baldwin St, Jenison, MI 49428-8937 — (616) 765-8585

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801118649 (MI)
Clinical Social Worker Taxonomy 1041C0700X · Licence 6851110906 (MI)

Record details

NPI number1467065409
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 28, 2020
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Cherry Street Services Inc — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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