James Robert Ebaugh, L.M.S.W.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801079240 Issued in MI

Practice address

220 Bagley St
Suite 700
Detroit, MI 48226-1400

Phone

(313) 965-2141

Fax

(313) 961-4612

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Detroit Health Care for the Homeless

  • Federally Qualified Health Center (FQHC)
  • Warren, MI
  • NPI 1144371279

  Corporate Director

  CMS ownership

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.

• Southwest Counseling Solutions

  • Psychiatry Physician
  • Detroit, MI
  • NPI 1386756153
  Medicare reassignment
• Family Service of Detroit & Wayne County

  • Clinical Social Worker
  • Detroit, MI
  • NPI 1235437047
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1487706172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23140 BOLAM AVE",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480894416",
            "telephone_number": "586-498-5875",
            "fax_number": "313-961-4612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 BAGLEY ST",
            "address_2": "SUITE 700",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482261400",
            "telephone_number": "313-965-2141",
            "fax_number": "313-961-4612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EBAUGH",
        "first_name": "JAMES",
        "middle_name": "ROBERT",
        "name_prefix": "Mr.",
        "credential": "L.M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801079240",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801079240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastwood Convalescent Center Inc.
• Easy Ride
• Arnel Eatmon
• Isaiah Cary Eatmon, AA BUSINESS MANAGEME
• Kayla Eaton
• Marcus Alexander Ebejer, ATC
• Julienne Jae Eberhardt, LMSW, ACSW
• John Lewis Eberhart, CAC-I
• James A Eberheart Jr., CHW
• Matthew William Ebinger, DO

• Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.