Andrea Marie Koenigshof, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801092287 Issued in MI

Practice address

8765 Grand River Ave
Clarksville, MI 48815-9717

Phone

(616) 822-2793

NPI assigned

May 13, 2012

Last updated

May 13, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1336867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1336867200000",
    "number": "1376802215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8765 GRAND RIVER AVE",
            "city": "CLARKSVILLE",
            "state": "MI",
            "postal_code": "488159717",
            "telephone_number": "616-822-2793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8765 GRAND RIVER AVE",
            "city": "CLARKSVILLE",
            "state": "MI",
            "postal_code": "488159717",
            "telephone_number": "616-822-2793"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOENIGSHOF",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-05-13",
        "last_updated": "2012-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092287",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennica Cool
• Jessica France
• Rachel Lynn Hughesdon, RN
• Brittany Moist

• Clinical Social Worker in Clarksville, MI
• Providers in Clarksville, 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 May 13, 2012; 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.