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

Vitalis Im

Individual provider Clinical Social Worker · NPI 1003402207

Vitalis Im is a Clinical Social Worker in Ypsilanti, Michigan. Practices as a sole proprietor. Licensed in Michigan.

Licensed in
MI
In the registry since
2020
Specialties on file
2

Practice location Address checks out

3150 Packard Rd
Ypsilanti, MI 48197-1994
Phone: (248) 581-8777
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Clinical Social Worker Taxonomy 1041C0700X · Licence 6801120101 (MI)

Record details

NPI number1003402207
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedDecember 12, 2020
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025

Other providers in Ypsilanti