Active NPI
Kori Lynn Agius, LMSW CAADC
- Social Worker
- West Bloomfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801093272
- 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, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801093272 | MI | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mycare Health Center | Current | Accepting new patients | |
| Sacred Heart Rehabilitation Center, Inc. | Current | Accepting new patients | |
| Ellie Mental Health Live Authentic PLLC | Current | 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
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10018231
- 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.
-
dba Ellie Mental Health
- Counseling Psychologist
- Novi, MI
- NPI 1760193031
-
- Substance Abuse Rehabilitation Facility
- Richmond, MI
- NPI 1750363305
-
- Federally Qualified Health Center (FQHC)
- Mount Clemens, MI
- NPI 1265749683
-
dba Great Lakes Psychology Group
- Community/Behavioral Health Agency
- Clarkston, MI
- NPI 1679739700
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
- Advanced Wound Care and Hyperbaric Medicine of Michigan PC
- Carol Afflerbaugh, M.A., CCC/SLP, BCBA
- Affordable Medical Equipment & Supply, Co., Inc. (Affordable Medical)
- Asghar Afsari, MD
- Deepika Aggarwal, DDS
- Patrick Agunwa, PA
- Ah West Bloomfield Subtenant, LLC
- Abraham K Aharoni, PHD
- Eleanor Aharoni, MA LMSW CAC1 SAP
- Shaina P Aharonov
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.