Robert E. Ennis Sr., LMSW
NPI 1063793594ActiveIndividual· Counselor, Mental Health· Flint, MI
Counselor, Mental Health (LMSW) with Mkaddesh Enterprises LLC, practicing in Flint, Michigan. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1063793594 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LMSW |
| Sole proprietor | Yes |
| NPI issued | Aug 29, 2011 |
| Last updated in NPPES | Aug 29, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor, Mental Health Primary | 101YM0800X | 6801010482 | MI |
| Counselor | 101Y00000X | 6801010482 | MI |
| Counselor, Addiction (Substance Use Disorder) | 101YA0400X | 6801010482 | MI |
| Counselor, Professional | 101YP2500X | 6801010482 | MI |
| Marriage & Family Therapist | 106H00000X | 6801010482 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (MI) |
|---|
Education and affiliations
| Graduation year | 1969 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Mkaddesh Enterprises LLCFlint, MI · 3 clinicians
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