Katrina A Brock, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801082828 Issued in MI

Practice address

110 E Huron Ave
Bad Axe, MI 48413-1312

Phone

(989) 975-6696

Fax

(800) 878-4243

NPI assigned

Jan 7, 2008

Last updated

Jul 14, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

List Psychological Services, PLCGroup PAC ID 6709799323, 28 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

41.32 of 100Reported as group

Quality

20

Improvement activities

0

Cost

84.4

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: listpsychologicalservices.katrinabrock@130916.advancedmd-direct.com

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.

• List Psychological Services, PLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Caro, MI
  • NPI 1336176031
  Medicare reassignment Care Compare group
• Deckerville Community Hospital Inc

  • Critical Access Hospital
  • Deckerville, MI
  • NPI 1619095718
  Medicare reassignment
• Hills & Dales General Hospital, Inc.

  • Critical Access Hospital
  • Cass City, MI
  • NPI 1154367001
  Medicare reassignment
• Marlette Regional Hospital

  • Critical Access Hospital
  • Marlette, MI
  • NPI 1346325214
  Medicare reassignment
• Hills & Dales General Hospital, Inc.

  dba Sandusky Rapid Care

  • General Practice Physician
  • Sandusky, MI
  • NPI 1306720529
  NPD
• Hills & Dales General Hospital, Inc.

  dba Aspire Hill Street Clinic

  • Psychiatry Physician
  • Cass City, MI
  • NPI 1952120859
  NPD
• List Psychological Services, PLC

  • Social Worker
  • Bay City, MI
  • NPI 1306896030

  Addiction (Substance Use Disorder)

  NPD
• Marlette Regional Hospital

  dba Aspire Angle Street Clinic

  • Family Medicine Physician
  • Marlette, MI
  • NPI 1730988999
  NPD

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783987200000",
    "number": "1285819532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "443 N STATE ST",
            "city": "CARO",
            "state": "MI",
            "postal_code": "487231539",
            "telephone_number": "989-672-6160",
            "fax_number": "800-211-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 E HURON AVE",
            "city": "BAD AXE",
            "state": "MI",
            "postal_code": "484131312",
            "telephone_number": "989-975-6696",
            "fax_number": "800-878-4243"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "624 W Nepessing St",
            "address_purpose": "LOCATION",
            "city": "Lapeer",
            "state": "MI",
            "postal_code": "484462090",
            "country_code": "US",
            "telephone_number": "810-667-4500",
            "fax_number": "800-701-9817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "651 N State St",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487231584",
            "country_code": "US",
            "telephone_number": "989-673-5700",
            "fax_number": "800-305-0193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "126 Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Bay City",
            "state": "MI",
            "postal_code": "487085846",
            "country_code": "US",
            "telephone_number": "989-684-7977",
            "fax_number": "800-235-1797",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33 W Sanilac Rd",
            "address_purpose": "LOCATION",
            "city": "Sandusky",
            "state": "MI",
            "postal_code": "484711036",
            "country_code": "US",
            "telephone_number": "810-648-0668",
            "fax_number": "800-701-9817",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "467 N State St",
            "address_purpose": "LOCATION",
            "city": "Caro",
            "state": "MI",
            "postal_code": "487231539",
            "country_code": "US",
            "telephone_number": "989-672-2016",
            "fax_number": "800-305-0193",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5024 N Center Rd",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486049412",
            "country_code": "US",
            "telephone_number": "989-790-3130",
            "fax_number": "800-246-0738",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROCK",
        "first_name": "KATRINA",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2026-07-14",
        "certification_date": "2026-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-00662",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801082828",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082828",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Branden M Borchardt, CRNA
• Beverly Bouverette
• Bethany Breismiester
• David R Brickel II, MD
• Beth A Britt
• Diane Brown
• Jessica A Brown
• Kaitlin Brown
• Alicia M Burkhard
• Jaclyn Danielle Callender

• Clinical Social Worker in Bad Axe, MI
• Providers in Bad Axe, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.