Andrea Miesmer, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P016915 Issued in NC

Practice address

5501 Fortunes Ridge Dr
Durham, NC 27713-6102

Phone

(919) 330-4147

NPI assigned

Oct 20, 2021

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1634688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634688000000",
    "number": "1386307049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 RACINE ST",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277073607",
            "telephone_number": "919-519-8330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 FORTUNES RIDGE DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277136102",
            "telephone_number": "919-330-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIESMER",
        "first_name": "ANDREA",
        "credential": "LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-20",
        "last_updated": "2021-10-20",
        "certification_date": "2021-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Byron Keith Middleton, BA
• Jessica Middleton, MA, LPC
• John Middleton
• Yasmeen Adia Midgette, DO
• Jenny Montgomery Miedema, RN, MSN, CPNP, NNPBC
• Lauren Simpson Miglarese, PA
• Sheryl Mika, ICCE
• Mohamad Abdul Ghani Mikati, MD
• Asiyah Zahra Mikell
• Jeannine Mikell

• Clinical Social Worker in Durham, NC
• Providers in Durham, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2021; 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.