Individual provider Active NPI

Sarah Jean Kanaby, LMSW

  • Clinical Social Worker
  • Sterling Heights, MI
National Provider Identifier
1558778134
Registry record updated Jun 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801095466 Issued in MI
Practice address
35429 Schoenherr Rd
Sterling Heights, MI 48312-4258
Phone
(586) 303-2255
NPI assigned
Jul 16, 2014
Last updated
Jun 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 14, 2023

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 6801095466 MI Primary

Addresses

Primary practice location

35429 Schoenherr Rd
Sterling Heights, MI 48312-4258

Mailing address

54036 Sutherland LN
Shelby Township, MI 48316-1248
Phone (810) 338-2038

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
I20160225000815 MI Practitioner - Clinical Social Worker 4688979826 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Counseling Services, PLLCGroup PAC ID 6608230115, 2 clinicians
Thrive Counseling LLCGroup PAC ID 0749458420, 1,187 clinicians

Practice addresses (Care Compare)

38271 Mound Rd
Suite 300
Sterling Heights, MI 48310-3403
Phone (586) 303-2255

7333 Triangle Dr
Sterling Heights, MI 48314-2318
Phone (248) 686-3347

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Counseling Services, PLLC CurrentSince Jul 29, 2023 Accepting new patients

Locations

38271 Mound Rd
Ste 300
Sterling Heights, MI 48310
Phone (586) 303-2255

35429 Schoenherr Rd
Sterling Hts, MI 48312
Phone (586) 264-4261

Organizations & group practices 2

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": "1405468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1558778134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54036 SUTHERLAND LN",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483161248",
            "telephone_number": "810-338-2038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35429 SCHOENHERR RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483124258",
            "telephone_number": "586-303-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANABY",
        "first_name": "SARAH",
        "middle_name": "JEAN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-16",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095466",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sterling Heights, MI

Sources for this page

Verify at the official NPI Registry.