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 provides Clinical Social Worker services 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
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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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