Individual provider Active NPI

Stephanie Nobach, LMSW

  • Clinical Social Worker
  • Grand Blanc, MI
National Provider Identifier
1881122075
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801120210 Issued in MI
Practice address
5325 Sequoia CT
Grand Blanc, MI 48439-3502
Phone
(810) 295-6829
NPI assigned
Jun 1, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801120210 MI Primary

Addresses

Primary practice location

5325 Sequoia CT
Grand Blanc, MI 48439-3502

Mailing address

5325 Sequoia CT
Grand Blanc, MI 48439-3502

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
I20260305000207 MI Practitioner - Clinical Social Worker 5698257020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vicky Alvarez Therapy, LLCGroup PAC ID 3678927597, 5 clinicians

Practice addresses (Care Compare)

2413 S Linden Rd
Suite C
Flint, MI 48532-5455
Phone (810) 771-3457

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801120210MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jan 27, 2026 Accepting new patients
Our Place Drop Inc Past Accepting new patients

Organizations & group practices 3

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": "1496275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1881122075",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5325 SEQUOIA CT",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484393502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5325 SEQUOIA CT",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484393502",
            "telephone_number": "810-295-6829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBACH",
        "first_name": "STEPHANIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-06-01",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801120210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

Verify at the official NPI Registry.