Individual provider Active NPI

Raphael Antonio Tramble, LMSW

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1447864129
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801116311 Issued in MI
Practice address
18470 W 10 Mile Rd Ste 200
Southfield, MI 48075-2603
Phone
(313) 513-5695
Fax
(833) 636-6592
NPI assigned
Sep 1, 2020
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 6801099987 MI
Clinical Social Worker 1041C0700X 6801116311 MI Primary

Addresses

Primary practice location

18470 W 10 Mile Rd Ste 200
Southfield, MI 48075-2603

Mailing address

47637 Burlingame Dr
Chesterfield, MI 48047-6028
Phone (313) 513-5695

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
I20230626003035 MI Practitioner - Clinical Social Worker 2860850690 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of MacombGroup PAC ID 4880581404, 81 clinicians

Practice addresses (Care Compare)

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

LicenseStateTypeSpecialty
6801099987MIMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Keys of Empowerment Counseling LLC Clinical CurrentSince Mar 24, 2024 Accepting new patients
Ismail B. Sendi, MD, PC CurrentSince May 21, 2023 Accepting new patients
County of Macomb CurrentSince Apr 12, 2024 Accepting new patients
Ismail B. Sendi, MD, PC CurrentSince May 21, 2023 Accepting new patients
County of Macomb CurrentSince Apr 12, 2024 Accepting new patients
New Image Body and Wellness Clinic, PC Past Accepting new patients
Oakland Health Associate of Waterford Clarkston PastSince Apr 19, 2025 Accepting new patients

Locations

6549 Town Center Dr
Ste A
Clarkston, MI 48346
Phone (248) 620-6400

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 469-5794

42669 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 412-5321

43740 N Groesbeck Hwy
Clinton Twp, MI 48036
Phone (586) 469-7229

18470 W 10 Mile Rd
Ste 200
Southfield, MI 48075
Phone (248) 809-6732

Organizations & group practices 7

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": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1447864129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47637 BURLINGAME DR",
            "city": "CHESTERFIELD",
            "state": "MI",
            "postal_code": "480476028",
            "telephone_number": "313-513-5695",
            "fax_number": "833-636-6592"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18470 W 10 MILE RD STE 200",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752603",
            "telephone_number": "313-513-5695",
            "fax_number": "833-636-6592"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAMBLE",
        "first_name": "RAPHAEL",
        "middle_name": "ANTONIO",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-01",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6801099987",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801116311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.