Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Mrs. Andrea Darlene Koski, LMSW, QIDP

Individual provider Social Worker · NPI 1891325577

Mrs. Andrea Darlene Koski, LMSW, QIDP is a Clinical Social Worker in Grand Rapids, Michigan. Qualified in 2019, 7 years ago. Licensed in Michigan.

Years since qualifying
7
Licensed in
MI
In the registry since
2020
Specialties on file
2
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.

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Practice location Address checks out

790 Fuller Ave NE
Grand Rapids, MI 49503-1918
Phone: (616) 336-3909
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 6801113738 (MI)
Social Worker Taxonomy 104100000X · Licence 6851104300 (MI)

Record details

NPI number1891325577
Entity typeIndividual (Type 1)
GenderFemale
Credentials LMSW , QIDP
Sole proprietorNo
NPI enumeratedJanuary 22, 2020
Last updated in NPPESApril 29, 2022
Certification dateApril 29, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Not indicated

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