Individual provider Active NPI

Ibtisam Babbie, LMSW, CAADC

  • Clinical Social Worker
  • Troy, MI
National Provider Identifier
1689676546
Registry record updated Jan 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
4107 John R Rd Ste 100
Troy, MI 48085-3639
Phone
(248) 602-9330
Fax
(469) 942-8340
NPI assigned
Aug 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

4107 John R Rd Ste 100
Troy, MI 48085-3639

Mailing address

6605 Northpoint Dr
Troy, MI 48085-1421
Phone (248) 602-9330

Other practice location 1

4646 John R St
Vamc
Detroit, MI 48201-1916
Phone (313) 576-1000 ext. 1814

Other names 1

  • Mrs. Ibtisam Babbie-Gill Former name

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
I20050420001065 MI Practitioner - Clinical Social Worker 6901844935 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Apr 17, 2024 Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

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": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767312000000",
    "number": "1689676546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6605 NORTHPOINT DR",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480851421",
            "telephone_number": "248-602-9330",
            "fax_number": "469-942-8340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4107 JOHN R RD STE 100",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480853639",
            "telephone_number": "248-602-9330",
            "fax_number": "469-942-8340"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4646 John R St",
            "address_2": "VAMC",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482011916",
            "country_code": "US",
            "telephone_number": "313-576-1000 x1814",
            "fax_number": "313-576-1074",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BABBIE",
        "first_name": "IBTISAM",
        "name_prefix": "Mrs.",
        "credential": "LMSW, CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-11",
        "last_updated": "2026-01-02",
        "certification_date": "2026-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IBTISAM",
            "last_name": "BABBIE-GILL",
            "prefix": "MRS.",
            "credential": "LMSW, CAADC",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.