Individual provider Active NPI

Zachary Woodby, LMSW CAADC

  • Clinical Social Worker
  • Clinton Township, MI
National Provider Identifier
1356780035
Registry record updated May 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801098340 Issued in MI
Practice address
42815 Garfield Rd Ste 210
Clinton Township, MI 48038-1143
Phone
(586) 846-4835
Fax
(586) 408-6485
NPI assigned
Jun 17, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2019

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 6801098340 MI Primary

Addresses

Primary practice location

42815 Garfield Rd Ste 210
Clinton Township, MI 48038-1143

Mailing address

42815 Garfield Rd Ste 210
Clinton Township, MI 48038-1143
Phone (586) 846-4835

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
I20190124003904 MI Practitioner - Clinical Social Worker 9133466386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jewish Family ServiceGroup PAC ID 8729071170, 13 clinicians

Practice addresses (Care Compare)

25900 Greenfield Rd
Suite 405
Oak Park, MI 48237-1267
Phone (248) 592-2300

6555 W Maple Rd
West Bloomfield, MI 48322-4926
Phone (248) 592-2300

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801098340MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Jewish Family Service Clinical CurrentSince Jan 8, 2020 Accepting new patients

Locations

25900 Greenfield Rd
Ste 405
Oak Park, MI 48237
Phone (248) 406-0076

6555 W Maple Rd
West Bloomfield, MI 48322
Phone (248) 592-2300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1371427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557100800000",
    "number": "1356780035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42815 GARFIELD RD STE 210",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381143",
            "telephone_number": "586-846-4835",
            "fax_number": "586-408-6485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42815 GARFIELD RD STE 210",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381143",
            "telephone_number": "586-846-4835",
            "fax_number": "586-408-6485"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODBY",
        "first_name": "ZACHARY",
        "name_prefix": "Mr.",
        "credential": "LMSW CAADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-17",
        "last_updated": "2019-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801098340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.