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Deactivated NPI 1013494988 Deactivated / Inactive NPI Male Practitioner

Charles Donald Small , LMSW

Social Worker • Oak Park, MI

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Charles Small has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date July 24, 2018
NPI Deactivation Date February 14, 2024
Total Practice Duration ~6 Years of Practice (2018 – 2024)

Professional Overview & Biography Verified Profile Summary

Charles Small, LMSW was a registered Social Worker practicing in Oak Park, MI. Throughout an active medical career spanning 6 years, Charles Small provided care at the practice location at 23300 GREENFIELD RD STE 122 until profile deactivation on 2024-02-14.

Historical Medicare Part B clinical services included psychotherapy, psychiatric diagnostic evaluation. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

23300 Greenfield Rd Ste 122

Oak Park, MI 482378408

Telephone 2489689508
Fax 2489689516
Associated Practice Facility / Clinic
🏢 Total One Behavioral Services Facility NPI 1447961172

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker in Oak Park, MI

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 24.0 Yrs
State Avg: 16.0 Yrs
Regional Practice Density
21 Specialists

Practicing in Oak Park, MI (9360 Statewide)

Telehealth Adoption Rate
4.8% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2019)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
204 12 $243.82 $102.91
90791 Psychiatric diagnostic evaluation
11 11 $234.03 $98.07

Medical Specialties & State Licenses

Social Worker Primary Specialty

NUCC Taxonomy Code: 104100000X

State License MI 6801020504

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

5 Associated Practitioners
NPI 1174009211

Licensed Master Social Worker, Academy of Certified Social Workers

Chrystyna Head

Social Worker - Clinical

NPI 1205426590
Christine Anderson , MSW

Social Worker - Clinical

NPI 1528541232

Master of Social Work

Bernadine Bell , LMSW

Social Worker - Clinical

NPI 1568194751

Licensed Master Social Worker

Kimara Oku

Social Worker - Clinical

NPI 1700265600

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 14, 2024

Record deactivated on February 14, 2024

NPI Profile Active July 24, 2018

NPI status registered as active in NPPES database

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Updated Practice Location July 24, 2018

Registered at 23300 GREENFIELD RD STE 122, OAK PARK, MI 482378408 (Tel: 2489689508)

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Updated Business Mailing Address July 24, 2018

Registered at 23300 GREENFIELD RD STE 122, OAK PARK, MI 482378408 (Tel: 2489689508)

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Provider Name / Credentials Updated July 24, 2018

Recorded as CHARLES SMALL, LMSW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 24, 2018

Social Worker (License #6801020504 in MI)

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Initial NPI Registration & Enumeration July 24, 2018

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1013494988
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 24, 2018
Last Update: July 24, 2018
Deactivation Date: February 14, 2024

Mailing Address

23300 Greenfield Rd Ste 122

Oak Park, MI 482378408

Phone: 2489689508

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.