Andrew Dwight Humphries, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801082960 Issued in MI

Practice address

1700 Waterman St
Detroit, MI 48209-2022

Phone

(313) 841-8900

Fax

(313) 841-3756

NPI assigned

Aug 10, 2010

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Christian Covenant Counseling Services LLC

  • Community Health Worker
  • Detroit, MI
  • NPI 1366782690
  NPD (past) Authorized official
• Southwest Counseling Solutions

  dba Southwest Conseling Services

  • Psychiatry Physician
  • Detroit, MI
  • NPI 1386756153

  Clinical

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663027200000",
    "number": "1043525447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5115 GRAYTON ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482242147",
            "telephone_number": "313-806-6711",
            "fax_number": "313-885-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 WATERMAN ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482092022",
            "telephone_number": "313-841-8900",
            "fax_number": "313-841-3756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUMPHRIES",
        "first_name": "ANDREW",
        "middle_name": "DWIGHT",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-08-10",
        "last_updated": "2022-09-13",
        "certification_date": "2022-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801082960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Humble Hearts
• Humbly Urs Home Help LLC
• Richard A. Humes, M.D.
• Earnest Lee Humphrey Jr.
• Kurt Humphrey, M.D.
• Kirandeep Kaur Hundal, M.D.
• Ashley Nicole Hunt Falkner, FNP
• Amanda Hunt, DIRECT CARE WORKER
• Jewell S Hunt
• Karen A. Hunt, M.D.

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2022; 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.

Verify at the official NPI Registry.