| Kori Lynn Agius, LMSW CAADC | |
|
6960 Orchard Lake Rd Ste 202, West Bloomfield, MI 48322-4519 | |
| (877) 693-5543 | |
| (248) 221-1775 |
| Full Name | Kori Lynn Agius |
|---|---|
| Gender | Female |
| Speciality | Social Worker |
| Location | 6960 Orchard Lake Rd Ste 202, West Bloomfield, Michigan |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962783662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 6801093272 (Michigan) | Secondary |
| 104100000X | Social Worker | 6801093272 (Michigan) | Primary |
| Entity Name | Sacred Heart Rehabilitation Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1750363305 PECOS PAC ID: 5395771240 Enrollment ID: O20050712000553 |
| Mailing Address | Practice Location Address |
|---|---|
| Kori Lynn Agius, LMSW CAADC 41800 W 11 Mile Rd Ste 110, Novi, MI 48375-1818 Ph: (877) 693-5543 | Kori Lynn Agius, LMSW CAADC 6960 Orchard Lake Rd Ste 202, West Bloomfield, MI 48322-4519 Ph: (877) 693-5543 |
Shari-beth Goldman, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6555 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-592-2300 Fax: 248-592-2340 | |
Ms. Michelle Klein, MSW,CSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6020 W Maple Rd Ste 501, West Bloomfield, MI 48322 Phone: 248-932-4325 | |
Natasha Castelvetere, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7096 Orchard Lake Rd, West Bloomfield, MI 48322 Phone: 616-328-6600 | |
Sarah Dubuc, LMSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 6555 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-592-2300 | |
Mrs. Laurel Jean Rebenstock, LMSW, CAADC Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 5600 W Maple Rd Ste B212, West Bloomfield, MI 48322 Phone: 248-605-5049 | |
Mrs. Lisa Weingarden Kaplan, LMSW, CAADC, ACSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6773 W Maple Rd, West Bloomfield, MI 48322 Phone: 248-788-3005 Fax: 248-661-6184 | |
Julie Zorn, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7137 Ward Eagle Dr., West Bloomfield, MI 48322 Phone: 248-470-8278 |