MR. JAMES ROBERT EBAUGH


Address: 220 Bagley St, Suite 700, Detroit, MI 48226-1400
Phone: 3139652141

MR. JAMES ROBERT EBAUGH (NPI# 1487706172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1487706172
Entity Type Individual
Full Name MR. JAMES ROBERT EBAUGH
Credential L.M.S.W.
Practice Address 220 Bagley St
Suite 700
Detroit
MI 48226-1400
Mailing Address 23140 Bolam Ave
Warren
MI 48089-4416
Practice Telephone 3139652141
Practice Fax Number 3139614612
Mailing Telephone 5864985875
Mailing Fax Number 3139614612
Enumeration Date 2007-01-16
Last Update Date 2007-07-08
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
X 104100000X Social Worker 6801079240 MI Behavioral Health & Social Service Providers
X 1041C0700X Social Worker
Specialization: Clinical
6801079240 MI Behavioral Health & Social Service Providers

Other Providers JAMES EBAUGH

NPI Name Taxonomy Address Enumeration
1942732821 James Preston Ebaugh II Psychiatry & Neurology 350 George St, New Haven, CT 06511-6617 2017-03-30
1982706214 James Lipscomb Ebaugh Surgery 5880 University Ave Ste 103, West Des Moines, IA 50266-8209 2006-09-05

Office Location

Street Address 220 BAGLEY ST
SUITE 700
City DETROIT
State MI
Zip Code 48226-1400

Providers in the same location

NPI Name Taxonomy Address Enumeration
1871035345 Integrated Wellness Social Worker 220 Bagley St, Suite 1015, Detroit, MI 48226-1400 2016-11-15
1972994697 Nicole Scruggs Homeopath 220 Bagley St, Suite 518, Detroit, MI 48226-1400 2015-02-17
1548526163 Billie Annette Waddell Social Worker 220 Bagley St, Ste 1100, Detroit, MI 48226-1400 2012-04-09
1437465945 Arnold Purnell Case Manager/Care Coordinator 220 Bagley St, 700, Detroit, MI 48226-1400 2010-08-20
1285940932 Natasha Wilson Social Worker 220 Bagley St, Suite 1015, Detroit, MI 48226-1400 2010-08-19
1992016513 Karen Marie Maguire Occupational Therapist 220 Bagley St, Detroit, MI 48226-1400 2010-06-29
1063733244 Sandra Grant Social Worker 220 Bagley St, Suite 1100, Detroit, MI 48226-1400 2010-06-22
1972824241 Elmer Whittaker Social Worker 220 Bagley St, Suite 1100, Detroit, MI 48226-1400 2010-06-21
1578884086 Gary Neil Goldstein Psychologist 220 Bagley St, 1100, Detroit, MI 48226-1400 2010-06-18
1326369984 Jodell Gay Occupational Therapy Assistant 220 Bagley St, Suite 1100, Detroit, MI 48226-1400 2010-06-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1164065314 Henr Y Ford Health System Pharmacy 1777 3rd. Ave, Detroit, MI 48226 2019-10-21
1912413386 Vitalizing Care Consultants LLC Home Health Aide 1420 Washington Blvd Ste 301, Detroit, MI 48226 2017-12-21
1639699945 Runners Transportation LLC Non-emergency Medical Transport (VAN) 111 Cadilac, Apt 16j, Detroit, MI 48226 2017-06-27
1174056857 Nariman Nassiri Student in an Organized Health Care Education/Training Program 200 Riverfront Dr., Apt 11g, Detroit, MI 48226 2017-04-10
1982143384 Strategic Operation Solutions Case Management 407 E. Fort St., Suite 407, Detroit, MI 48226 2017-02-17
1700329315 Jacob Chaffee Pharmacist 600 E. Lafayette Blvd, Mail Code 512c, Detroit, MI 48226 2016-11-30
1487059325 Lions Hearing Center of Michigan Audiologist 1326 St. Antoine, Detroit, MI 48226 2014-11-04
1811320336 Ralph T Topolewski Orthotist 525 E.jefferson Ave, Detroit, MI 48226 2013-08-20
1689006488 The Literacy Center Non-emergency Medical Transport (VAN) 645 Griswold Street, Suite 1300, Detroit, MI 48226 2013-08-02
1972834422 Lydia J Commissaris Nurse Practitioner 45 W. Grand River Ave, Detroit, MI 48226 2010-01-22
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Taxonomy Information

Taxonomy Code 104100000X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker

Taxonomy Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1497363758 Ana H Calandrino Social Worker 155 W Congress St Ste 206, Detroit, MI 48226-3200 2020-07-22
1295352532 Laysha Cooks Social Worker 18638 Hartwell St, Detroit, MI 48235-1345 2020-07-02
1851922892 Celeste Gaskin Social Worker 9103 Longworth St, Detroit, MI 48209-1717 2020-01-29
1619526100 Diamond Adult Foster and Respite Homes LLC Social Worker 8028 Middlepoint St, Detroit, MI 48204-3132 2019-09-06
1083269922 Amelia Mariah Allen Social Worker 13511 Archdale St, Detroit, MI 48227-1335 2019-08-07
1942853023 Eshe Institute LLC Social Worker 19600 Grand River Ave, Detroit, MI 48223-1280 2019-07-18
1013569920 Tatyana Aubrey Pryor Social Worker 6821 Medbury St, Detroit, MI 48211-3317 2019-07-10
1649831439 Charday Penick Social Worker Team Wellness, 2925 Russell St, Detroit, MI 48207 2019-06-24
1568023349 Alphia Ramona Burgess Social Worker Team Wellness Center, 2925 Russell Street, Detroit, MI 48207 2019-06-24
1902464969 Michanda Gant Social Worker 18244 W Mcnichols Rd, Detroit, MI 48219-4163 2019-06-04
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Competitor

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City DETROIT
Zip Code 48226

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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