Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Robert E Ennis Sr., LMSW

Individual provider Counselor · NPI 1063793594

Robert E Ennis Sr., LMSW is a Clinical Social Worker in Flint, Michigan. Qualified in 1969, 57 years ago. Practices with Mkaddesh Enterprises LLC, a 3-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
57
Licensed in
MI
In the registry since
2011
Specialties on file
5
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

129 E 3rd St
Flint, MI 48502-1728
Phone: (810) 233-4031
Fax: (810) 237-4141
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 6801010482 (MI)
Counselor Taxonomy 101Y00000X · Licence 6801010482 (MI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 6801010482 (MI)
Professional Counselor Taxonomy 101YP2500X · Licence 6801010482 (MI)
Marriage & Family Therapist Taxonomy 106H00000X · Licence 6801010482 (MI)

Record details

NPI number1063793594
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW
Sole proprietorYes
NPI enumeratedAugust 29, 2011
Last updated in NPPESAugust 29, 2011
Mailing address12190 Silver Lake Rd, Byron, MI 48418-9001

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1969 (57 years in practice)
Group practice Mkaddesh Enterprises Llc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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