Individual provider Active NPI

Olivia Loudermilk, LMSW

  • Clinical Social Worker
  • Troy, MI
National Provider Identifier
1013687979
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801121971 Issued in MI
Practice address
1740 W Big Beaver Rd Ste 107
Troy, MI 48084-3507
Phone
(248) 573-7417
NPI assigned
Sep 14, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801121971 MI Primary
Clinical Social Worker 1041C0700X 6851116268 MI
Social Worker 104100000X

Addresses

Primary practice location

1740 W Big Beaver Rd Ste 107
Troy, MI 48084-3507

Mailing address

495 Coats Rd
Lake Orion, MI 48362-1015
Phone (810) 728-8991

Other practice location 1

23580 Orchard Lake Rd
Farmington Hills, MI 48336-3241
Phone (248) 957-6444

Other names 1

  • Olivia Delong Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260521000706 MI Practitioner - Clinical Social Worker 8921577784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lyon Counseling CenterGroup PAC ID 1456782564, 14 clinicians

Practice addresses (Care Compare)

127 N Lafayette St
South Lyon, MI 48178-1210
Phone (248) 573-7417

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801121971MIMDClinical Social Worker
6851116268MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lyon Counseling Center CurrentSince May 8, 2026 Accepting new patients

Locations

127 N Lafayette St
South Lyon, MI 48178
Phone (248) 573-7417

1740 W Big Beaver Rd
Ste 107
Troy, MI 48084
Phone (248) 573-7417

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1013687979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 COATS RD",
            "city": "LAKE ORION",
            "state": "MI",
            "postal_code": "483621015",
            "telephone_number": "810-728-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W BIG BEAVER RD STE 107",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480843507",
            "telephone_number": "248-573-7417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "23580 Orchard Lake Rd",
            "address_purpose": "LOCATION",
            "city": "Farmington Hills",
            "state": "MI",
            "postal_code": "483363241",
            "country_code": "US",
            "telephone_number": "248-957-6444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOUDERMILK",
        "first_name": "OLIVIA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801121971",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851116268",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "DELONG",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.