Individual provider Active NPI

David Castine, LMSW, LMFT

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1225030190
Registry record updated Dec 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
680104095 Issued in MI
Practice address
29260 Franklin Rd Ste 115
Southfield, MI 48034-1144
Phone
(248) 854-1708
Fax
(248) 436-2844
NPI assigned
Aug 11, 2005
Last updated
Dec 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2023

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 680104095 MI Primary
Marriage & Family Therapist 106H00000X 4101005312 MI

Addresses

Primary practice location

29260 Franklin Rd Ste 115
Southfield, MI 48034-1144

Mailing address

2416 Wexford Dr
Troy, MI 48084-2712
Phone (248) 854-1708

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
I20050202000840 MI Practitioner - Clinical Social Worker 9032160411 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cypress Counseling Center PCGroup PAC ID 3971736315, 4 clinicians

Practice addresses (Care Compare)

3135 S State St
Suite 108
Ann Arbor, MI 48108-1653
Phone (734) 369-3180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
680104095MIMDClinical Social Worker
4101005312MIMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health Eastwood Behavioral Health Social Worker CurrentSince Jul 1, 2012 Accepting new patients
Therapy Services of Clarkston CurrentSince Feb 7, 2024 Accepting new patients
Counseling Associates Inc Past Accepting new patients
Carol a. Roekle, M.D., P.C. Past Accepting new patients
Change Is Possible Counseling Services, LLC Clinical Past Accepting new patients

Locations

6770 Dixie Hwy
Ste 103
Clarkston, MI 48346
Phone (248) 625-5550

17250 Farmington Rd
Livonia, MI 48152
Phone (734) 425-4070

22255 Greenfield Rd
Ste 300
Southfield, MI 48075
Phone (248) 557-5227

28000 Dequindre Rd
Bldg N
Warren, MI 48092

Organizations & group practices 6

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

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702252800000",
    "number": "1225030190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2416 WEXFORD DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480842712",
            "telephone_number": "248-854-1708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29260 FRANKLIN RD STE 115",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480341144",
            "telephone_number": "248-854-1708",
            "fax_number": "248-436-2844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CASTINE",
        "first_name": "DAVID",
        "credential": "LMSW, LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2023-12-11",
        "certification_date": "2023-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "680104095",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MI",
            "license": "4101005312",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.