Individual provider Active NPI

Lia Angela Coval, MSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1184188658
Registry record updated Jan 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801110436 Issued in MI
Practice address
2800 Stone School Rd RM 112
Ann Arbor, MI 48104-7434
Phone
(734) 973-9167
NPI assigned
Jan 29, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801110436 MI Primary
Clinical Social Worker 1041C0700X 6801103135 MI

Addresses

Primary practice location

2800 Stone School Rd RM 112
Ann Arbor, MI 48104-7434

Mailing address

3621 S State St
Ann Arbor, MI 48108-1633
Phone (734) 647-5299

Other practice location 1

3810 Packard St Ste 220
Ann Arbor, MI 48108-2366
Phone (734) 747-2968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801103135MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Radical Connections CurrentSince May 14, 2023 Accepting new patients
Next Chapter Healing Collective LLC Clinical PastSince Jun 1, 2023 Accepting new patients
Regents of the University of Michigan PastSince Jan 28, 2024 Accepting new patients

Locations

2020 Hogback Rd
Ste 11
Ann Arbor, MI 48105
Phone (734) 215-7392

3810 Packard St
Ste 220
Ann Arbor, MI 48108
Phone (248) 919-8653

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": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706140800000",
    "number": "1184188658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481081633",
            "telephone_number": "734-647-5299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 STONE SCHOOL RD RM 112",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481047434",
            "telephone_number": "734-973-9167"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3810 Packard St Ste 220",
            "address_purpose": "LOCATION",
            "city": "Ann Arbor",
            "state": "MI",
            "postal_code": "481082366",
            "country_code": "US",
            "telephone_number": "734-747-2968",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COVAL",
        "first_name": "LIA",
        "middle_name": "ANGELA",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-29",
        "last_updated": "2024-01-25",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801110436",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801103135",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.