Individual provider Active NPI

Paul Ogbonna Amadi, MSW LMSW ACSW CACI

  • Addiction (Substance Use Disorder) Counselor
  • Monroe, MI
National Provider Identifier
1295823128
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
I-03983 Issued in MI
Practice address
1112 E 6TH Street
Monroe, MI 48161
Phone
(734) 244-7028
Fax
(734) 244-7028
NPI assigned
Oct 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X I-03983 MI Primary
Clinical Social Worker 1041C0700X 6801082063 MI

Addresses

Primary practice location

1112 E 6TH Street
Monroe, MI 48161

Mailing address

PO Box 2313
1112 E 6TH Street
Monroe, MI 48161
Phone (734) 244-7028

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
I20050426000987 MI Practitioner - Clinical Social Worker 3779522131 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1112 E 6TH St
Monroe, MI 48161-1224
Phone (734) 322-3058

PO Box
Suite 2313
Monroe, MI 48161

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I-03983MIMDAddiction (Substance Use Disorder) Counselor
6801082063MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Counseling Services Corporation Addiction (Substance Use Disorder) CurrentSince Apr 26, 2005 Accepting new patients
United States Catholic Conference Past Accepting new patients
United States Catholic Conference Past Accepting new patients

Organizations & group practices 3

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1295823128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2313",
            "address_2": "1112 E 6TH STREET",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "48161",
            "telephone_number": "734-244-7028",
            "fax_number": "734-244-7028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 E 6TH STREET",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "48161",
            "telephone_number": "734-244-7028",
            "fax_number": "734-244-7028"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AMADI",
        "first_name": "PAUL",
        "middle_name": "OGBONNA",
        "credential": "MSW LMSW ACSW CACI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "I-03983",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082063",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

Verify at the official NPI Registry.