Individual provider Active NPI

Andrea L Dalman, LMSW

  • Clinical Social Worker
  • Marysville, MI
National Provider Identifier
1154601714
Registry record updated Mar 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801094228 Issued in MI
Practice address
1326 Wisconsin Ave
Marysville, MI 48040-1444
Phone
(734) 425-4070
Fax
(586) 792-3061
NPI assigned
Aug 26, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801094228 MI Primary

Addresses

Primary practice location

1326 Wisconsin Ave
Marysville, MI 48040-1444

Mailing address

1326 Wisconsin Ave
Marysville, MI 48040-1444
Phone (734) 425-4070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151104000858 MI Practitioner - Clinical Social Worker 5294045241 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Colonial Woods Missionary ChurchGroup PAC ID 7810140043, 6 clinicians

Practice addresses (Care Compare)

1101 Military St
Port Huron, MI 48060-5418
Phone (810) 984-5575

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801094228MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sparrow Carson Hospital Current Accepting new patients
Sparrow Carson Hospital CurrentSince May 1, 2017 Accepting new patients
Henry Ford Health Eastwood Behavioral Health Social Worker CurrentSince Oct 3, 2015 Accepting new patients
Seton Health Corporation of Southeastern Michigan CurrentSince Apr 4, 2017 Accepting new patients
Seton Health Corporation of Southeastern Michigan Clinical CurrentSince Apr 4, 2017 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

35455 Garfield Rd
Clinton Twp, MI 48035
Phone (586) 690-5230

17250 Farmington Rd
Livonia, MI 48152
Phone (734) 425-4070

22255 Greenfield Rd
Ste 550
Southfield, MI 48075
Phone (586) 226-6161

22255 Greenfield Rd
Southfield, MI 48075
Phone (248) 557-7336

545 N State St
Stanton, MI 48888
Phone 9898318301 ext. 360

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1314316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711324800000",
    "number": "1154601714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1326 WISCONSIN AVE",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401444",
            "telephone_number": "734-425-4070",
            "fax_number": "586-792-3061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1326 WISCONSIN AVE",
            "city": "MARYSVILLE",
            "state": "MI",
            "postal_code": "480401444",
            "telephone_number": "734-425-4070",
            "fax_number": "586-792-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALMAN",
        "first_name": "ANDREA",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-26",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801094228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marysville, MI

Sources for this page

Verify at the official NPI Registry.