Andrea Lavigne, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801068055 Issued in MI

Practice address

725 S Adams Rd
Suite L134
Birmingham, MI 48009-6902

Phone

(313) 300-2518

Fax

(248) 433-3384

NPI assigned

Mar 8, 2006

Last updated

Feb 10, 2010By the provider in NPPES

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)

Enrolled

State licenses

Practice roles

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

• Social Physics, PLLC

  • Counselor
  • Birmingham, MI
  • NPI 1427118215
  NPD (past) Authorized official

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265760000000",
    "number": "1255309266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1257 BEACONSFIELD AVE",
            "city": "GROSSE POINTE PARK",
            "state": "MI",
            "postal_code": "482301056",
            "telephone_number": "313-300-2518",
            "fax_number": "248-433-3384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 S ADAMS RD",
            "address_2": "SUITE L134",
            "city": "BIRMINGHAM",
            "state": "MI",
            "postal_code": "480096902",
            "telephone_number": "313-300-2518",
            "fax_number": "248-433-3384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVIGNE",
        "first_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-08",
        "last_updated": "2010-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801068055",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nancy Kulish, PHD
• Allison Kuzak
• Mary Kirsten Kyle, MT-BC
• Isabella Anna Largin, MS, RDN
• Lisa Greenlee Lasala, MSW ACSW
• Legacy Dental Group, PC (Legacy Dental Group)
• Laura Lynn Lehmann, PSYD, LP
• Leighann Leik, P.A
• Kimberlee Leishear, D.O.
• Lena Agree JD, PSYD, LLC

• Clinical Social Worker in Birmingham, MI
• Providers in Birmingham, 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 Feb 10, 2010; 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.