Individual provider Active NPI

Naomi Zikmund-Fisher, LMSW

  • Clinical Social Worker
  • Ypsilanti, MI
National Provider Identifier
1174863823
Registry record updated Jan 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094347 Issued in MI
Practice address
2048 Washtenaw Rd Uppr Level
Ypsilanti, MI 48197-1889
Phone
(517) 879-0938
NPI assigned
Feb 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801094347 MI
Clinical Social Worker 1041C0700X 6801094347 MI Primary

Addresses

Primary practice location

2048 Washtenaw Rd Uppr Level
Ypsilanti, MI 48197-1889

Mailing address

2048 Washtenaw Rd Uppr Level
Ypsilanti, MI 48197-1889
Phone (517) 879-0938

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
I20141201000758 MI Practitioner - Clinical Social Worker 8123340254 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801094347MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Naomi Zikmund-Fisher, LMSW, LLC Clinical CurrentSince Jan 1, 2016 Accepting new patients

Locations

915 Airport Rd
Jackson, MI 49202
Phone (517) 206-3016

3010 Wildwood Ave
Unit 3B
Jackson, MI 49202
Phone (517) 879-0938

2048 Washtenaw Rd
Uppr
Ypsilanti, MI 48197
Phone (517) 879-0938

2048 Washtenaw Rd
Ypsilanti, MI 48197
Phone (517) 879-0938

2048 Washtenaw Rd
Uppr Le
Ypsilanti, MI 48197
Phone (734) 926-8740

2048 Washtenaw Rd
Ste 2
Ypsilanti, MI 48197

Organizations & group practices 1

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": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642982400000",
    "number": "1174863823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 WASHTENAW RD UPPR LEVEL",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971889",
            "telephone_number": "517-879-0938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 WASHTENAW RD UPPR LEVEL",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971889",
            "telephone_number": "517-879-0938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIKMUND-FISHER",
        "first_name": "NAOMI",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-18",
        "last_updated": "2022-01-24",
        "certification_date": "2022-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801094347",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ypsilanti, MI

Sources for this page

Verify at the official NPI Registry.