Individual provider Active NPI

Evan William Zimdars, LMSW

  • Social Worker
  • Livonia, MI
National Provider Identifier
1578201877
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801120107 Issued in MI
Practice address
17940 Farmington Rd Ste 302
Livonia, MI 48152-3159
Phone
(734) 679-2951
NPI assigned
May 25, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6851114500 MI
Social Worker 104100000X 6801120107 MI Primary

Addresses

Primary practice location

17940 Farmington Rd Ste 302
Livonia, MI 48152-3159

Mailing address

220 Hickory LN Apt 204
Westland, MI 48185-3452
Phone (734) 679-2951

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
I20250503000145 MI Practitioner - Clinical Social Worker 1254858293 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
JD CounselingGroup PAC ID 4284140146, 2 clinicians

Practice addresses (Care Compare)

29240 Buckingham St
Suite 5
Livonia, MI 48154-4575
Phone (734) 655-0522

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6851114500MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Richard Kneip, PH.D., P.C. CurrentSince Apr 23, 2025 Accepting new patients
JD Counseling CurrentSince Nov 21, 2025 Accepting new patients

Locations

6548 Town Center Dr
Ste D
Clarkston, MI 48346
Phone (248) 212-8739

17199 N Laurel Park Dr
Ste 260
Livonia, MI 48152

17940 Farmington Rd
Ste 302
Livonia, MI 48152
Phone (248) 219-5341

29240 Buckingham St
Ste 5
Livonia, MI 48154
Phone (734) 655-0522

89 W South Blvd
Ste 200
Troy, MI 48085
Phone (248) 813-8840

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1578201877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 HICKORY LN APT 204",
            "city": "WESTLAND",
            "state": "MI",
            "postal_code": "481853452",
            "telephone_number": "734-679-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17940 FARMINGTON RD STE 302",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481523159",
            "telephone_number": "734-679-2951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZIMDARS",
        "first_name": "EVAN",
        "middle_name": "WILLIAM",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-25",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6851114500",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801120107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.