VITALIS IM
NPI 1003402207
Social Worker - Clinical in Ypsilanti, MI

NPI Status: Active since December 12, 2020

Contact Information

3150 PACKARD RD
YPSILANTI, MI
ZIP 48197
Phone: (248) 581-8777

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  • Individual
  • Male
  • Social Worker
  • Clinical
  • Accepts Insurance

About VITALIS IM

This page provides the complete NPI Profile along with additional information for Vitalis Im, a provider established in Ypsilanti, Michigan with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1003402207 assigned on December 2020. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an individual and his NPI record was last updated May 2025.

NPI
1003402207
Provider Name
VITALIS IM
Gender
Male
Entity Type
Individual
Location Address
3150 PACKARD RD YPSILANTI, MI 48197
Location Phone
(248) 581-8777
Mailing Address
2222 W GRAND RIVER AVE STE A OKEMOS, MI 48864
Is Sole Proprietor?
Yes
Enumeration Date
12-12-2020
Last Update Date
05-08-2025
Code Navigator

A clinical social worker like Vitalis Im is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11041C0700XBehavioral Health & Social Service Providers

Social Worker
Clinical

6801120101 (MI)

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Clear Silver - HMO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Everyday Gold - HMO
  • Everyday Gold + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Standard Silver + Vision + Adult Dental - HMO
  • Choice Bronze HSA - HMO
  • Choice Bronze HSA + Vision + Adult Dental - HMO
  • Clear Gold - HMO
  • Clear Gold + Vision + Adult Dental - HMO
  • Clear Silver - HMO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Complete Silver - HMO
  • Complete Silver + Vision + Adult Dental - HMO
  • Elite Gold - HMO
  • Elite Gold + Vision + Adult Dental - HMO
  • Everyday Bronze - HMO
  • Everyday Bronze + Vision + Adult Dental - HMO
  • Focused Silver - HMO
  • Focused Silver + Vision + Adult Dental - HMO
  • Standard Expanded Bronze - HMO
  • Standard Expanded Bronze + Vision + Adult Dental - HMO
  • Standard Gold - HMO
  • Standard Gold + Vision + Adult Dental - HMO
  • Standard Silver - HMO
  • Gold 1 - HMO
  • Gold 1 with Adult Vision Services - HMO
  • Gold 8 - HMO
  • Silver 1 - HMO
  • Silver 1 with Adult Vision Services - HMO
  • Silver 12 with First 4 Primary Care Visits Free - HMO
  • Silver 8 - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Reviews for VITALIS IM

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003402207
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
200380420
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 8 + 0 + 4 + 2 + 0 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1003402207 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 13 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1972621266 VICTORIA CARIDAD SERBIA M.D.
Individual
Psychiatry & Neurology (Psychiatry)3150 PACKARD RD
YPSILANTI, MI 48197
(734) 528-0801
1679734461VISITING PHYSICIANS ASSOCIATES PC
Organization
General Practice3150 PACKARD RD
YPSILANTI, MI 48197
(734) 477-9030
1790937571TUSCANY HOME HEALTH SERVICES LLC
Organization
Home Health3150 PACKARD RD
YPSILANTI, MI 48197
(734) 644-0596
1326291584LINCOLN HOME HEALTH SERVICES, LLC
Organization
Home Health3150 PACKARD RD
YPSILANTI, MI 48197
(313) 415-0058
1407017239MS. STACEY MICHELLE MACK MSW
Individual
Social Worker (Clinical)3150 PACKARD RD
YPSILANTI, MI 48197
(734) 879-0162
1205098654DR. SHI-YU TAN MD
Individual
General Practice3150 PACKARD RD
YPSILANTI, MI 48197
(734) 276-7096
1790302479 LIBERTY ELLIS LLPC
Individual
Counselor (Mental Health)3150 PACKARD RD
YPSILANTI, MI 48197
(734) 203-0183
1528456019 JENNIFER BLOUGH LLPC
Individual
Counselor (Professional)3150 PACKARD RD
YPSILANTI, MI 48197
(734) 203-0183
1639600687DEEPWATER COUNSELING, PLLC
Organization
Counselor (Professional)3150 PACKARD RD
YPSILANTI, MI 48197
(734) 203-0183
1306454665 ANGELA MASINDE MA, LLPC, ATR-P
Individual
Counselor (Professional)3150 PACKARD RD
YPSILANTI, MI 48197
(734) 203-0183
1942945035 FATU KAMARA
Individual
Social Worker (Clinical)3150 PACKARD RD
YPSILANTI, MI 48197
(734) 203-0183
1831897156MALINDA DOBYNE, LMSW PLLC
Organization
Social Worker3150 PACKARD RD
YPSILANTI, MI 48197
(734) 740-3371
1649081498 AMBER NICOLE HUGHSON LLMSW
Individual
Social Worker (Clinical)3150 PACKARD RD
YPSILANTI, MI 48197
(248) 581-8777

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003402207, enumerated in the NPI registry as an "individual" on December 12, 2020

The provider is located at 3150 Packard Rd Ypsilanti, Mi 48197 and the phone number is (248) 581-8777

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

The provider might be accepting Accepts: Ambetter from Meridian, Ambetter Health and Molina. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on December 12, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.