Individual provider Active NPI

Drew Kersjes

  • Social Worker
  • Lansing, MI
National Provider Identifier
1023624343
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801103988 Issued in MI
Practice address
5123 W St Joe Hwy Ste 103
Lansing, MI 48917-4028
Phone
(517) 323-4099
NPI assigned
Sep 22, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801103988 MI Primary
Social Worker 104100000X

Addresses

Primary practice location

5123 W St Joe Hwy Ste 103
Lansing, MI 48917-4028

Mailing address

4428 Margaret Dr
Charlotte, MI 48813-7646
Phone (517) 652-5325

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
I20260401000491 MI Practitioner - Clinical Social Worker 6305321985 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

812 E Jolly Rd
Suite 210
Lansing, MI 48910-6821

923 S Lansing St
Mason, MI 48854-1917

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801103988MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Oakland Psychological Clinic, P.C. Clinical CurrentSince Jan 26, 2022 Accepting new patients
Monarch Counseling LLC Clinical CurrentSince Feb 24, 2026 Accepting new patients
Jonathan M. Blair PHD, PLLC PastSince Sep 27, 2020 Accepting new patients

Locations

5123 W St Joe Hwy
Ste 103
Lansing, MI 48917
Phone (517) 323-4099

306 S Creyts Rd
Lansing, MI 48917
Phone (517) 204-1604

Organizations & group practices 3

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": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1023624343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4428 MARGARET DR",
            "city": "CHARLOTTE",
            "state": "MI",
            "postal_code": "488137646",
            "telephone_number": "517-652-5325",
            "fax_number": "517-323-9531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5123 W ST JOE HWY STE 103",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489174028",
            "telephone_number": "517-323-4099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERSJES",
        "first_name": "DREW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801103988",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.