Andrea Marie Cleland, M.S.W, L.M.S.W.

Individual provider Active NPI Clinical Social Worker · Bad Axe, MI

NPI 1184959835 · NPPES record last updated Oct 14, 2009

Key facts

NPI
1184959835
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
6801087710 (MI)
Practice address
117 S Port Crescent St
Bad Axe, MI 48413-1388
Phone
(989) 269-5180
Fax
(989) 269-5185
NPI assigned
Oct 14, 2009
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6801087710MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Professional Counseling Service, PLLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801087710 MI Yes

Addresses

Primary practice location

117 S Port Crescent St
Bad Axe, MI 48413-1388

Mailing address

117 S Port Crescent St
Bad Axe, MI 48413-1388
Phone (989) 269-5180

Other providers in Bad Axe, MI

All providers in Bad Axe, MI · Clinical Social Worker in Michigan

Sources for this page

Verify at the official NPI Registry.