MRS. ANDREA DARLENE KOSKI LMSW, QIDP
NPI 1891325577
Social Worker - Clinical in Grand Rapids, MI

Q: What is Andrea Koski's NPI number?

The NPI number for Andrea Koski is 1891325577. It was assigned to this individual provider in the NPPES registry on January 22, 2020. The provider is also known as Ms. Andrea Darlene Paulin.

Q: What is Andrea Koski's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Koski was last updated on April 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 22, 2020PECOS Enrolled

790 FULLER AVE NE, GRAND RAPIDS, MI 49503(616) 336-3909 Get Directions Write a Review

NPPES record last updated: April 29, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 29, 2022, Sep 17, 2021, Jan 22, 2020 (3 updates tracked since 2020).

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About Mrs. Andrea Darlene Koski Lmsw, Qidp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. ANDREA DARLENE KOSKI LMSW, QIDP (NPI 1891325577) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801113738) and active in the NPI registry since January 2020. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1891325577

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMRS. ANDREA DARLENE KOSKICredential: LMSW, QIDP

Location Address790 FULLER AVE NEGrand Rapids, MI 49503-1918

Mailing Address790 Fuller Ave NeGrand Rapids, MI 49503-1918 · (616) 336-3909

Phone(616) 336-3909

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJanuary 22, 2020

Last NPPES UpdateApril 29, 20223 updates tracked since enumeration

NPPES CertifiedApril 29, 2022

✔ NPI 1891325577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in MI · 6801113738

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedSocial WorkerTaxonomy 104100000X · License 6851104300 (MI)

790 FULLER AVE NE, Grand Rapids, MI 49503

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Other Names 1

Former Name (1)Ms. Andrea Darlene Paulin

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mrs. Andrea Darlene Koski Lmsw, Qidp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1052809761

PECOS Enrollment IDI20251023004405

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49503 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.34 – $166.68

Typical copayment $0.00 (range $13.58 – $41.67)

Most-billed visit code NA

Established Patient

$68.07 typical visit price

range $17.09 – $135.40

Typical copayment $17.01 (range $4.27 – $33.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DIANA DUARTE-MENENDEZ LMSW

Social Worker (Clinical)