Madelyn Koshay

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851120838 Issued in MI

Practice address

15930 19 Mile Rd Ste 150
Clinton Township, MI 48038-1155

Phone

(586) 281-5866

Fax

(586) 204-8887

NPI assigned

May 30, 2023

Reactivated

Oct 17, 2025

Last updated

Oct 20, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Ellie Sem Clinic, PLLC

  dba Ellie Mental Health

  • Clinical Social Worker
  • Clinton Township, MI
  • NPI 1730899824
  NPD
• Macomb Oakland Regional Center Inc.

  dba Easter Seals-Michigan, Inc

  • Physical Therapist
  • Clinton Township, MI
  • NPI 1871696047
  NPD (past)

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760918400000",
    "number": "1336832062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15930 19 MILE RD STE 150",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381155",
            "telephone_number": "586-281-5866",
            "fax_number": "586-204-8887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15930 19 MILE RD STE 150",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480381155",
            "telephone_number": "586-281-5866",
            "fax_number": "586-204-8887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSHAY",
        "first_name": "MADELYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2025-10-20",
        "certification_date": "2025-10-20",
        "deactivation_date": "2025-09-26",
        "reactivation_date": "2025-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851120838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Koro
• Chelsea Lauren Kortz
• Stephanie Kortz
• Jennifer Kristen Korzeniowski, MA, LPC, NCC
• Linda Lu Reese Kosal, D.O.
• Angela Marie Kosmas, MA, LPC
• Klara Hatam Kosto, MS, LBA
• Milea Rose Kostrzewa
• Joshua Kostusyk, LLBSW
• Dino F Kotsonis, D.C

• Clinical Social Worker in Clinton Township, MI
• Providers in Clinton Township, 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 Oct 20, 2025; 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.