Individual provider Active NPI

Andrea Lynn Koerber, LLMSW

  • Clinical Social Worker
  • Clinton TWP, MI
National Provider Identifier
1174951958
Registry record updated Jul 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801108551 Issued in MI
Practice address
44899 Centre CT
Suite 102
Clinton TWP, MI 48038-5510
Phone
(586) 792-1654
Fax
(586) 792-1656
NPI assigned
Oct 15, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 9, 2026

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 2546494 MI
Clinical Social Worker 1041C0700X 6801108551 MI Primary

Addresses

Primary practice location

44899 Centre CT
Suite 102
Clinton TWP, MI 48038-5510

Mailing address

44899 Centre CT
Suite 102
Clinton TWP, MI 48038-5510
Phone (586) 792-1654

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
I20241204001373 MI Practitioner - Clinical Social Worker 5193251940 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of MacombGroup PAC ID 4880581404, 81 clinicians

Practice addresses (Care Compare)

43740 N Groesbeck Hwy
Clinton Township, MI 48036-1139
Phone (586) 469-7229

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2546494MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
County of Macomb CurrentSince Sep 27, 2024 Accepting new patients
County of Macomb CurrentSince Sep 27, 2024 Accepting new patients
Joak American Homes, Inc. PastSince Sep 8, 2009 Accepting new patients

Locations

19800 Hall Rd
Clinton Twp, MI 48038
Phone (586) 854-4804

43740 N Groesbeck Hwy
Clinton Twp, MI 48036
Phone (586) 469-7229

44899 Centre Ct
Ste 102
Clinton Twp, MI 48038
Phone (586) 792-1654

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": "1381795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783555200000",
    "number": "1174951958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44899 CENTRE CT",
            "address_2": "SUITE 102",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480385510",
            "telephone_number": "586-792-1654",
            "fax_number": "586-792-1656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44899 CENTRE CT",
            "address_2": "SUITE 102",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480385510",
            "telephone_number": "586-792-1654",
            "fax_number": "586-792-1656"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOERBER",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-10-15",
        "last_updated": "2026-07-09",
        "certification_date": "2026-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "2546494",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801108551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton TWP, MI

Sources for this page

Verify at the official NPI Registry.