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

Active since December 12, 2020
3150 PACKARD RD, YPSILANTI, MI 48197(248) 581-8777 Get Directions Write a Review

NPPES record last updated: May 8, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2025, Jun 7, 2022, Dec 12, 2020 (3 updates tracked since 2020).

About Vitalis Im NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VITALIS IM (NPI 1003402207) is an individual clinical provider in Ypsilanti, Michigan, licensed in Michigan (6801120101) and active in the NPI registry since December 2020.

NPPES Registry Identity

NPI1003402207
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameVITALIS IM
Location Address3150 PACKARD RDYpsilanti, MI 48197-1994
Mailing Address2222 W Grand River Ave Ste AOkemos, MI 48864-1604
Sole ProprietorYes
Enumeration DateDecember 12, 2020
Last NPPES UpdateMay 8, 20253 updates tracked since enumeration
NPPES CertifiedMay 8, 2025
NPI 1003402207 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MI · 6801120101
Definition
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.
3150 PACKARD RD, Ypsilanti, MI 48197

Accepted Insurance

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

General Practice
3150 PACKARD RD
YPSILANTI, MI 48197
Counselor (Professional)
3150 PACKARD RD
YPSILANTI, MI 48197
Home Health
3150 PACKARD RD
YPSILANTI, MI 48197
Social Worker (Clinical)
3150 PACKARD RD
YPSILANTI, MI 48197
Counselor (Professional)
3150 PACKARD RD
YPSILANTI, MI 48197
Counselor (Professional)
3150 PACKARD RD
YPSILANTI, MI 48197
Social Worker (Clinical)
3150 PACKARD RD
YPSILANTI, MI 48197
General Practice
3150 PACKARD RD
YPSILANTI, MI 48197

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vitalis Im's NPI number?

The NPI number for Vitalis Im is 1003402207. It was assigned to this individual provider in the NPPES registry on December 12, 2020.

Where is Vitalis Im located?

Vitalis Im practices at 3150 Packard Rd, Ypsilanti, MI 48197. The listed phone number is (248) 581-8777.

What is Vitalis Im's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

What insurance does Vitalis Im accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and UnitedHealthcare list Vitalis Im as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Vitalis Im was last updated on May 8, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.