Individual provider Active NPI

Kori Lynn Agius, LMSW CAADC

  • Social Worker
  • West Bloomfield, MI
National Provider Identifier
1962783662
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6801093272 Issued in MI
Practice address
6960 Orchard Lake Rd Ste 202
West Bloomfield, MI 48322-4519
Phone
(877) 693-5543
Fax
(248) 221-1775
NPI assigned
Sep 8, 2011
Last updated
Aug 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6801093272 MI Primary
Clinical Social Worker 1041C0700X 6801093272 MI

Addresses

Primary practice location

6960 Orchard Lake Rd Ste 202
West Bloomfield, MI 48322-4519

Mailing address

41800 W 11 Mile Rd Ste 110
Novi, MI 48375-1818
Phone (877) 693-5543

Other practice location 1

766 Tanglewood Dr
Madison Heights, MI 48071-2211
Phone (248) 425-1597

Other practice location 2

41800 W 11 Mile Rd Ste 110
Novi, MI 48375-1818
Phone (877) 693-5543

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
I20141121000723 MI Practitioner - Clinical Social Worker 1355563628 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801093272MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mycare Health Center Current Accepting new patients
Sacred Heart Rehabilitation Center, Inc. Current Accepting new patients
Ellie Mental Health Live Authentic PLLC CurrentSince Feb 16, 2026 Accepting new patients
Richard Kneip, PH.D., P.C. Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 110
Novi, MI 48375
Phone (877) 693-5543

400 Stoddard Rd
Richmond, MI 48062

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10018231
  • Direct secure messaging: koriagius@mchc.allscriptsdirect.net

Organizations & group practices 4

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": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1962783662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41800 W 11 MILE RD STE 110",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483751818",
            "telephone_number": "877-693-5543",
            "fax_number": "248-221-1775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6960 ORCHARD LAKE RD STE 202",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483224519",
            "telephone_number": "877-693-5543",
            "fax_number": "248-221-1775"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "766 Tanglewood Dr",
            "address_purpose": "LOCATION",
            "city": "Madison Heights",
            "state": "MI",
            "postal_code": "480712211",
            "country_code": "US",
            "telephone_number": "248-425-1597",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "41800 W 11 Mile Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Novi",
            "state": "MI",
            "postal_code": "483751818",
            "country_code": "US",
            "telephone_number": "877-693-5543",
            "fax_number": "248-221-1775",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "AGIUS",
        "first_name": "KORI",
        "middle_name": "LYNN",
        "credential": "LMSW CAADC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801093272",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801093272",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bloomfield, MI

Sources for this page

Verify at the official NPI Registry.