Individual provider Active NPI

Annette Mills-McCoy, LMSW-C

  • Clinical Social Worker
  • Clarkston, MI
National Provider Identifier
1225560915
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801110568 Issued in MI
Practice address
6549 Town Center Dr Ste a
Clarkston, MI 48346-4824
Phone
(248) 620-6400
NPI assigned
Mar 31, 2017
Last updated
Jul 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801110568 MI Primary

Addresses

Primary practice location

6549 Town Center Dr Ste a
Clarkston, MI 48346-4824

Mailing address

6549 Town Center Dr Ste a
Clarkston, MI 48346-4824
Phone (248) 620-6400

Other practice location 1

175 N Groesbeck Hwy
Mount Clemens, MI 48043-1562
Phone (586) 627-0024

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
I20221026002267 MI Practitioner - Clinical Social Worker 0749656106 Reassigns benefits to 5 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Henry Ford Health System-School Based Health Initiative Clinical CurrentSince Jan 3, 2026 Accepting new patients
Aldad Medical PC CurrentSince Apr 1, 2023 Accepting new patients
Easterseals Morc Health Care, Inc. CurrentSince Sep 26, 2025 Accepting new patients
Aldad Medical PC CurrentSince Apr 1, 2023 Accepting new patients
Henry Ford Health System Clinical CurrentSince Jan 3, 2026 Accepting new patients
Henry Ford Health System CurrentSince Jan 3, 2026 Accepting new patients
Advanced Health Sports & Occupation PastSince Jul 1, 2024 Accepting new patients

Locations

263 Tresser Blvd
Fl 9
Stamford, CT 06901
Phone (203) 915-8337

2723 S State St
Ste 150
Ann Arbor, MI 48104
Phone (734) 316-7880

2399 E Walton Blvd
Auburn Hills, MI 48326
Phone (248) 475-6400

15600 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-8735

1 Ford Pl
Ste 1F
Detroit, MI 48202
Phone (313) 874-4907

1000 Scotten St
Detroit, MI 48209
Phone (313) 457-2797

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

400 Renaissance Ctr
Ste 2600
Detroit, MI 48243
Phone (248) 599-1582

155 Cass Ave
Mount Clemens, MI 48043
Phone (586) 263-2106

22170 W 9 Mile Rd
Southfield, MI 48033
Phone (248) 357-8197

5800 Highland Rd
Waterford, MI 48327
Phone (248) 290-5700

510 Hempstead Tpke
Rm 203
West Hempstead, NY 11552
Phone 51650572001051

Organizations & group practices 8

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

NPI Registry JSON

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

{
    "created_epoch": "1490918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1225560915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6549 TOWN CENTER DR STE A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464824",
            "telephone_number": "248-620-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6549 TOWN CENTER DR STE A",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483464824",
            "telephone_number": "248-620-6400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "175 N Groesbeck Hwy",
            "address_purpose": "LOCATION",
            "city": "Mount Clemens",
            "state": "MI",
            "postal_code": "480431562",
            "country_code": "US",
            "telephone_number": "586-627-0024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MILLS-MCCOY",
        "first_name": "ANNETTE",
        "credential": "LMSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-31",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801110568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clarkston, MI

Sources for this page

Verify at the official NPI Registry.