Active NPI
Mallory Sabon, LMSW
- Clinical Social Worker
- Troy, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801106797
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 6801095621 | MI | MD | Social Worker |
| 6801106797 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Macomb | Current | Accepting new patients | |
| County of Macomb | Current | Accepting new patients | |
| Training and Treatment Innovations Inc | Current | Accepting new patients | |
| Training & Treatment Innovations Inc | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Clinton TWP, MI
- NPI 1942532197
-
- Community/Behavioral Health Agency
- Oxford, MI
- NPI 1609857978
-
- Public Health or Welfare Agency
- Mount Clemens, MI
- NPI 1760462253
-
- Public Health or Welfare Agency
- Sterling Heights, MI
- NPI 1295084721
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.