Innovative Counseling Services for Families & Youth LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801086356 Issued in MI

Legal business name

INNOVATIVE COUNSELING SERVICES FOR FAMILIES & YOUTH LLC

Practice address

2048 Washtenaw Rd Uppr Suite
Ypsilanti, MI 48197-1889

Phone

(734) 748-0950

NPI assigned

Nov 16, 2012

Last updated

Nov 16, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Karen S Zokas, LMSWNPI 1174773584

Title

LMSW

Phone

(734) 748-0950

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Karen Susan Zokas, LMSW

  • Clinical Social Worker
  • Ypsilanti, MI
  • NPI 1174773584
  NPD (past) Authorized official

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

{
    "created_epoch": "1353024000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353024000000",
    "number": "1679817480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8963 NORTHAMPTON DR",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703339",
            "telephone_number": "734-748-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 WASHTENAW RD UPPR SUITE",
            "city": "YPSILANTI",
            "state": "MI",
            "postal_code": "481971889",
            "telephone_number": "734-748-0950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE COUNSELING SERVICES FOR FAMILIES & YOUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A",
        "authorized_official_last_name": "ZOKAS",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "LMSW",
        "authorized_official_telephone_number": "734-748-0950",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801086356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0898552",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Ypsilanti, MI
• Providers in Ypsilanti, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.