Andrea Elizabeth Bice, MSW, LICSW, DDMHS

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW 60543031 Issued in WA

Practice address

17421 Telegraph Rd
Detroit, MI 48219-3165

Phone

(313) 255-0900

Fax

(313) 255-3465

NPI assigned

Jan 4, 2012

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

Other names 1

• Andrea Elizabeth Link Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1325635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478649600000",
    "number": "1275803520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30525 VERNON DR",
            "city": "BEVERLY HILLS",
            "state": "MI",
            "postal_code": "480254944",
            "telephone_number": "313-570-1866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17421 TELEGRAPH RD",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482193165",
            "telephone_number": "313-255-0900",
            "fax_number": "313-255-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BICE",
        "first_name": "ANDREA",
        "middle_name": "ELIZABETH",
        "credential": "MSW, LICSW, DDMHS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-04",
        "last_updated": "2016-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW 60543031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "LINK",
            "middle_name": "ELIZABETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Usha Bhupathi Raju, M.D.
• Tanushri Bhushan, MD, MPH
• Ladanna Bibb
• Rehana Bibi
• Samara Bibi, RN
• Mary Kathryn Bicknell
• Kurt Michael Biebuyck, PHYSICAL THERAPIST
• Janine Bieda, CNM
• Melanie Ann Bieganski
• Brenda Bierenga, FNP, BC

• Clinical Social Worker in Detroit, MI
• Providers in Detroit, 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 Nov 9, 2016; 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.