MR. MARTIN TOBIA LMSW
NPI 1154779973
Social Worker in Sterling Heights, MI

Active since June 02, 2016PECOS Enrolled
38600 VAN DYKE AVE STE 101, STERLING HEIGHTS, MI 48312(248) 460-9421 Get Directions Write a Review

NPPES record last updated: January 5, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Mr. Martin Tobia Lmsw NPPES

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

MR. MARTIN TOBIA LMSW (NPI 1154779973) is an individual social worker in Sterling Heights, Michigan, licensed in Michigan (6801106589) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Sterling Heights.

NPPES Registry Identity

NPI1154779973
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameMR. MARTIN TOBIACredential: LMSW
Location Address38600 VAN DYKE AVE STE 101Sterling Heights, MI 48312-1171
Mailing Address8866 Brougham DrSterling Heights, MI 48312-3531 · (586) 604-4379
Sole ProprietorYes
Enumeration DateJune 2, 2016
Last NPPES UpdateJanuary 5, 2021
NPPES CertifiedJanuary 5, 2021
✔ NPI 1154779973 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in MI · 6801106589
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.
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X · License 6801099494 (MI)
38600 VAN DYKE AVE STE 101, Sterling Heights, MI 48312

Secondary Practice Location 1

Location 16555 15 Mile RdSterling Heights, MI 48312-4511 · Phone (586) 783-8113

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Martin Tobia Lmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Martin Tobia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mental Health (Including Community Mental Health Center)
43740 N GROESBECK HWY
Clinton Twp, MI 48036
  • Reassigned Medicare billing, Michigan enrollment
  • 83 clinicians in this Medicare group
Community/Behavioral Health
6548 TOWN CENTER DR STE D
Clarkston, MI 48346
  • Reassigned Medicare billing, Michigan enrollment
  • Medicare enrollment name: Richard Kneip Phd PC
  • 347 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychiatric diagnostic evaluation 90791
A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.
16 services16 patients

Other Providers at the Same Location NPPES 15

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

Social Worker
38600 VAN DYKE AVE STE 101
STERLING HEIGHTS, MI 48312
Social Worker
38600 VAN DYKE AVE STE 101
STERLING HEIGHTS, MI 48312
Social Worker
38600 VAN DYKE AVE STE 101
STERLING HEIGHTS, MI 48312
Counselor
38600 VAN DYKE AVE STE 101
STERLING HEIGHTS, MI 48312
Social Worker
38600 VAN DYKE AVE STE 101
STERLING HEIGHTS, MI 48312
Social Worker
38600 VAN DYKE AVE STE 101
STERLING HEIGHTS, MI 48312
Counselor (Professional)
38600 VAN DYKE AVE STE 101
STERLING HEIGHTS, MI 48312
Social Worker
38600 VAN DYKE AVE STE 101
STERLING HEIGHTS, MI 48312

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 Martin Tobia's NPI number?

The NPI number for Martin Tobia is 1154779973. It was assigned to this individual provider in the NPPES registry on June 2, 2016.

Where is Martin Tobia located?

Martin Tobia practices at 38600 Van Dyke Ave Ste 101, Sterling Heights, MI 48312. The listed phone number is (248) 460-9421.

What is Martin Tobia's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Martin Tobia enrolled in Medicare?

Yes. Martin Tobia is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Martin Tobia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Martin Tobia reassigns Medicare benefits to 2 organizations: County Of Macomb (Clinton Twp, MI) and Richard Kneip, Ph.D., P.C. (Clarkston, MI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Martin Tobia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Martin Tobia accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Oscar Insurance Company, Priority Health and UnitedHealthcare list Martin Tobia 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 Martin Tobia was last updated on January 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.