Individual provider Active NPI

Belinda Dianne Evans Ebio, LMSW

  • Clinical Social Worker
  • Grosse Pointe Park, MI
National Provider Identifier
1235425422
Registry record updated May 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801063120 Issued in MI
Practice address
15200 E Jefferson Ave Ste 101F
Grosse Pointe Park, MI 48230-2055
Phone
(313) 610-8267
Fax
(313) 861-8503
NPI assigned
Jun 25, 2011
Last updated
May 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801063120 MI Primary

Addresses

Primary practice location

15200 E Jefferson Ave Ste 101F
Grosse Pointe Park, MI 48230-2055

Mailing address

15200 E. Jefferson Ste, 101F
Suite 101F
Grosse Pointe Park, MI 48230-2055
Phone (313) 610-8267

Other identifiers 1

IdentifierTypeStateIssuer
12188569MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801063120MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Change Is Possible Counseling Services, LLC Clinical Past Accepting new patients

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, 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": "1308960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746144000000",
    "number": "1235425422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15200 E. JEFFERSON STE, 101F",
            "address_2": "SUITE 101F",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482302055",
            "telephone_number": "313-610-8267",
            "fax_number": "313-861-8506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15200 E JEFFERSON AVE STE 101F",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482302055",
            "telephone_number": "313-610-8267",
            "fax_number": "313-861-8503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVANS EBIO",
        "first_name": "BELINDA",
        "middle_name": "DIANNE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-25",
        "last_updated": "2025-05-02",
        "certification_date": "2025-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801063120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12188569",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grosse Pointe Park, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.