Individual provider Active NPI

Martin Tobia, LMSW

  • Social Worker
  • Sterling Heights, MI
National Provider Identifier
1154779973
Registry record updated Jan 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801106589 Issued in MI
Practice address
38600 Van Dyke Ave Ste 101
Sterling Heights, MI 48312-1171
Phone
(248) 460-9421
NPI assigned
Jun 2, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801099494 MI
Social Worker 104100000X 6801106589 MI Primary

Addresses

Primary practice location

38600 Van Dyke Ave Ste 101
Sterling Heights, MI 48312-1171

Mailing address

8866 Brougham Dr
Sterling Heights, MI 48312-3531
Phone (586) 604-4379

Other practice location 1

6555 15 Mile Rd
Sterling Heights, MI 48312-4511
Phone (586) 783-8113

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
I20210303002218 MI Practitioner - Clinical Social Worker 4284040957 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801099494MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Macomb CurrentSince Feb 12, 2022 Accepting new patients
County of Macomb CurrentSince Feb 12, 2022 Accepting new patients
Richard Kneip, PH.D., P.C. CurrentSince Jan 12, 2021 Accepting new patients

Locations

6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 212-8739

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

43740 N Groesbeck Hwy
Clinton Twp, MI 48036
Phone (586) 469-7229

38600 Van Dyke Ave
Ste 101
Sterling Heights, MI 48312
Phone (248) 266-5591

6555 15 Mile Rd
Sterling Hts, MI 48312
Phone (586) 469-7792

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

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": "1464825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609804800000",
    "number": "1154779973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8866 BROUGHAM DR",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483123531",
            "telephone_number": "586-604-4379"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38600 VAN DYKE AVE STE 101",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483121171",
            "telephone_number": "248-460-9421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6555 15 Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Sterling Heights",
            "state": "MI",
            "postal_code": "483124511",
            "country_code": "US",
            "telephone_number": "586-783-8113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOBIA",
        "first_name": "MARTIN",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-02",
        "last_updated": "2021-01-05",
        "certification_date": "2021-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801099494",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801106589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.