Andria Land, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

34010750A Issued in IN

Practice address

1201 Michigan Ave Ste 330
Logansport, IN 46947-1570

Phone

(765) 753-4151

NPI assigned

May 10, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

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.

• Parkview Logansport Hospital, Inc.

  • General Acute Care Hospital
  • Logansport, IN
  • NPI 1942317656
  Medicare reassignment NPD
• Mending Hearts & Building Dreams Therapy, LLC

  • Clinical Social Worker
  • Monticello, IN
  • NPI 1972367951
  NPD Authorized official
• Parkview Logansport Hospital, Inc.

  • Rural Health Clinic/Center
  • Peru, IN
  • NPI 1770248015
  NPD

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711497600000",
    "number": "1164168498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 MICHIGAN AVE STE 330",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471570",
            "telephone_number": "574-753-4151",
            "fax_number": "574-722-1560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 MICHIGAN AVE STE 330",
            "city": "LOGANSPORT",
            "state": "IN",
            "postal_code": "469471570",
            "telephone_number": "765-753-4151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAND",
        "first_name": "ANDRIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34010750A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ladd Orthodontics of Logansport, LLC
• Lafayette Pain Care PC
• Lafayette Pain Care PC
• Thomas Fitzgerald Laing, RPH
• Michael Lalla, M.D.
• Amy Lynn Langley, RBT
• Kailyn Marie Langley
• Rayna Joann Larrowe, RN
• Shawn G Larson, MD
• Jody R Lashbrook, LCSW

• Clinical Social Worker in Logansport, IN
• Providers in Logansport, IN by specialty
• Clinical Social Worker in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.