ANDREA KOUTRAS (LLMSW) – Clinical Social Worker, NPI 1013302504
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,820 CLINICAL SOCIAL WORKER in MI
Provider Addresses for ANDREA KOUTRAS (LLMSW)
3785 BAY RD
SAGINAW, MI 486032433
Phone: (989) 791-2455
Fax: (989) 791-1392
Type: Mailing
3201 HALLMARK CT
SAGINAW, MI 486032109
Phone: (989) 746-7500
Fax: (989) 746-4658
Type: Location
1714 Eastman Ave
Midland, MI 486404216
Phone: (989) 631-5390
Type: Location
1000 HOUGHTON AVE
SAGINAW, MI 486025303
Phone: (989) 746-7500
Fax: (989) 746-4658
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-05-20
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20190520002747 | I | Clinical Social Worker | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90837 | Psychotherapy, 1 hour | 101 | 18 | $0 |
| 90832 | Psychotherapy, 30 minutes | 40 | 12 | $0 |
Insurance plans in this area (ZIP 48603)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MI | |
| - | MI | |
| General Surgery, Endocrinology | CA | |
| - | MI | |
| - | MI | |
| - | IL | |
| General Surgery | MI | |
| - | MI | |
| Nurse Practitioner | MI | |
| General Surgery | FL |
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