Matina Fabian, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801093673 Issued in MI

Practice address

670 Griswold St
Suite 3
Northville, MI 48167-2675

Phone

(248) 347-3470

Fax

(248) 347-2242

NPI assigned

Oct 31, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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

Locations

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.

• Hegira Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Westland, MI
  • NPI 1184684979

  Social Worker

  Medicare reassignment NPD
• Hegira Health, Inc.

  • Primary Care Clinic/Center
  • Westland, MI
  • NPI 1477141356
  NPD

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

{
    "created_epoch": "1320019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451952000000",
    "number": "1700162153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "670 GRISWOLD ST",
            "address_2": "SUITE 3",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481672675",
            "telephone_number": "248-347-3470",
            "fax_number": "248-347-2242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 GRISWOLD ST",
            "address_2": "SUITE 3",
            "city": "NORTHVILLE",
            "state": "MI",
            "postal_code": "481672675",
            "telephone_number": "248-347-3470",
            "fax_number": "248-347-2242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FABIAN",
        "first_name": "MATINA",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-31",
        "last_updated": "2016-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093673",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rochelle A Eubanks-Daniel, MD
• Eucalyptus Counseling Services PLC
• Maria Evans, L.L.P.
• Excel Care LLC
• Eye 2 Eye Contact
• Cecilia Margaret Fagan, PA
• Fairwood Dental PLLC
• Family Medicine Obstetrics of Northville
• Audrey L Fan, MD
• Lindsay Farrugia

• Clinical Social Worker in Northville, MI
• Providers in Northville, 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 Jan 5, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.