Individual provider Active NPI

Mallory Sabon, LMSW

  • Clinical Social Worker
  • Troy, MI
National Provider Identifier
1194164558
Registry record updated Aug 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801106797 Issued in MI
Practice address
1225 E Big Beaver Rd
Troy, MI 48083-1905
Phone
(248) 524-8801
Fax
(248) 524-8850
NPI assigned
Jun 19, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X
Social Worker 104100000X 6801095621 MI
Clinical Social Worker 1041C0700X 6801106797 MI Primary

Addresses

Primary practice location

1225 E Big Beaver Rd
Troy, MI 48083-1905

Mailing address

1225 E Big Beaver Rd
Troy, MI 48083-1905
Phone (248) 524-8801

Other practice location 1

520 Superior St
Port Huron, MI 48060-3838
Phone (810) 984-4202

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
I20200528001799 MI Practitioner - Clinical Social Worker 1951722008 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Training and Treatment Innovations IncGroup PAC ID 1557323144, 18 clinicians
County of MacombGroup PAC ID 4880581404, 81 clinicians

Practice addresses (Care Compare)

1225 E Big Beaver Rd
Troy, MI 48083-1905
Phone (248) 524-8801

1450 S Lapeer Rd
Oxford, MI 48371-6108
Phone (248) 969-9932

43740 N Groesbeck Hwy
Clinton Township, MI 48036-1139
Phone (586) 469-7229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801095621MIMDSocial Worker
6801106797MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Macomb CurrentSince Oct 3, 2024 Accepting new patients
County of Macomb CurrentSince Oct 3, 2024 Accepting new patients
Training and Treatment Innovations Inc CurrentSince May 1, 2020 Accepting new patients
Training & Treatment Innovations Inc CurrentSince May 1, 2020 Accepting new patients

Locations

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

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

929 Stevens St
Flint, MI 48502
Phone (810) 232-6081

1450 S Lapeer Rd
Oxford, MI 48371
Phone (248) 969-9932

3665 Bay Rd
Saginaw, MI 48603
Phone (989) 799-0066

13213 E 14 Mile Rd
Sterling Heights, MI 48312
Phone (586) 939-4374

1225 E Big Beaver Rd
Troy, MI 48083
Phone (248) 524-8801

Organizations & group practices 4

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597276800000",
    "number": "1194164558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1225 E BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831905",
            "telephone_number": "248-524-8801",
            "fax_number": "248-524-8850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 E BIG BEAVER RD",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831905",
            "telephone_number": "248-524-8801",
            "fax_number": "248-524-8850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "520 Superior St",
            "address_purpose": "LOCATION",
            "city": "Port Huron",
            "state": "MI",
            "postal_code": "480603838",
            "country_code": "US",
            "telephone_number": "810-984-4202",
            "fax_number": "810-984-8896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABON",
        "first_name": "MALLORY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-19",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801095621",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.