Individual provider Active NPI

Dominique Zander

  • Clinical Social Worker
  • Redford, MI
National Provider Identifier
1740730878
Registry record updated Jul 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801111292 Issued in MI
Practice address
9315 Telegraph Rd
Redford, MI 48239-1260
Phone
(313) 643-9211
NPI assigned
Oct 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X
Social Worker 104100000X
Clinical Social Worker 1041C0700X 6801111292 MI Primary

Addresses

Primary practice location

9315 Telegraph Rd
Redford, MI 48239-1260

Mailing address

15703 Ash Ave
Eastpointe, MI 48021-2375

Other practice location 1

15703 Ash Ave
Eastpointe, MI 48021-2375
Phone (313) 643-9211

Other practice location 2

8765 Lewis Ave
Temperance, MI 48182-9583
Phone (734) 847-3802

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
I20230929000701 MI Practitioner - Clinical Social Worker 5890149504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lincoln Behavioral ServicesGroup PAC ID 7113816612, 23 clinicians

Practice addresses (Care Compare)

9315 Telegraph Rd
Redford, MI 48239-1260
Phone (313) 450-4500

9329 Telegraph Rd
Redford, MI 48239-1260
Phone (313) 937-9500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801111292MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Rediscovering Joy Counseling Services Mental Health CurrentSince Mar 11, 2025 Accepting new patients
Family Medical Center of Michigan,Inc CurrentSince Aug 20, 2023 Accepting new patients
Lincoln Behavioral Services CurrentSince Jun 12, 2025 Accepting new patients
Lincoln Behavioral Services Single Specialty CurrentSince Jun 12, 2025 Accepting new patients
Family Medical Center of Michigan,Inc Single Specialty CurrentSince Aug 20, 2023 Accepting new patients

Locations

1200 N Main St
Adrian, MI 49221
Phone (517) 263-1800

1085 N Macomb St
#O
Monroe, MI 48162
Phone (734) 639-2546

9315 Telegraph Rd
Redford, MI 48239
Phone (313) 937-9500

8765 Lewis Ave
Temperance, MI 48182

Organizations & group practices 5

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": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751328000000",
    "number": "1740730878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15703 ASH AVE",
            "city": "EASTPOINTE",
            "state": "MI",
            "postal_code": "480212375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9315 TELEGRAPH RD",
            "city": "REDFORD",
            "state": "MI",
            "postal_code": "482391260",
            "telephone_number": "313-643-9211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15703 Ash Ave",
            "address_purpose": "LOCATION",
            "city": "Eastpointe",
            "state": "MI",
            "postal_code": "480212375",
            "country_code": "US",
            "telephone_number": "313-643-9211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8765 Lewis Ave",
            "address_purpose": "LOCATION",
            "city": "Temperance",
            "state": "MI",
            "postal_code": "481829583",
            "country_code": "US",
            "telephone_number": "734-847-3802",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZANDER",
        "first_name": "DOMINIQUE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-10-13",
        "last_updated": "2025-07-01",
        "certification_date": "2025-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801111292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redford, MI

Sources for this page

Verify at the official NPI Registry.