Andrea R. Green

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801090684 Issued in MI

Practice address

37899 W 12 Mile Rd
Suite 130
Farmington Hills, MI 48331-3048

Phone

(248) 476-2229

NPI assigned

Jun 21, 2011

Sex

Female

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

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Practice roles

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.

• Aspire Therapy Services, PLLC

  • Psychologist
  • Farmington Hills, MI
  • NPI 1093190100
  NPD (past)
• Senior Counseling Services LLC

  • Clinical Social Worker
  • Farmington Hills, MI
  • NPI 1851719884
  NPD (past)

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

{
    "created_epoch": "1308614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308614400000",
    "number": "1114213840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E HARBORTOWN DR",
            "address_2": "UNIT 906",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482075027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37899 W 12 MILE RD",
            "address_2": "SUITE 130",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483313048",
            "telephone_number": "248-476-2229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREEN",
        "first_name": "ANDREA",
        "middle_name": "R.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-21",
        "last_updated": "2011-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alex Jason Green, M.D.
• Alexandra Green
• Alexis Green
• Alonna Green
• Anasia Green
• Aquilla Green
• Auriel Green
• Breona Green
• Brianna Green
• Brittany Green

• Clinical Social Worker in Farmington Hills, MI
• Providers in Farmington Hills, 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 Jun 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.