Individual provider Active NPI

Zachary Jaime, LMSW

  • Clinical Social Worker
  • Saginaw, MI
National Provider Identifier
1013312479
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094036 Issued in MI
Practice address
64 Davis Dr
Saginaw, MI 48602-1900
Phone
(989) 714-3564
NPI assigned
Oct 28, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801094036 MI Primary

Addresses

Primary practice location

64 Davis Dr
Saginaw, MI 48602-1900

Mailing address

64 Davis Dr
Saginaw, MI 48602-1900
Phone (989) 714-3564

Other practice location 1

201 Mulholland St
Bay City, MI 48708-7693
Phone (989) 895-2300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150807015240 MI Practitioner - Clinical Social Worker 0840504577 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801094036MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Partners in Change: Psychological & Community Services, PLC CurrentSince May 20, 2019 Accepting new patients
Hyacinth Clinical Services and Consulting PLLC CurrentSince Jun 6, 2024 Accepting new patients

Locations

1912 S Saginaw Rd
Midland, MI 48640
Phone (989) 408-7587

4912 Mac St
Midland, MI 48640
Phone (989) 317-4640

720 W Wackerly St
Ste 11
Midland, MI 48640
Phone (989) 832-2165

214 S Washington St
Mount Pleasant, MI 48858
Phone (917) 725-4126

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1013312479",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 DAVIS DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486021900",
            "telephone_number": "989-714-3564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 DAVIS DR",
            "city": "SAGINAW",
            "state": "MI",
            "postal_code": "486021900",
            "telephone_number": "989-714-3564"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 Mulholland St",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487087693",
            "country_code": "US",
            "telephone_number": "989-895-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JAIME",
        "first_name": "ZACHARY",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, MI

Sources for this page

Verify at the official NPI Registry.