Marla Lynette Andrews

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6803076439 Issued in MI

Practice address

4700 Beaufait St
Detroit, MI 48207-1372

Phone

(313) 267-9777

Fax

(313) 921-9131

NPI assigned

Dec 23, 2021

Last updated

Dec 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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.

• Services to Enhance Potential

  • Case Management Agency
  • Detroit, MI
  • NPI 1962884080
  NPD (past)

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

{
    "created_epoch": "1640217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640217600000",
    "number": "1447910021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15572 JONAS AVE",
            "city": "ALLEN PARK",
            "state": "MI",
            "postal_code": "481011751",
            "telephone_number": "734-444-8209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 BEAUFAIT ST",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482071372",
            "telephone_number": "313-267-9777",
            "fax_number": "313-921-9131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "MARLA",
        "middle_name": "LYNETTE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-23",
        "last_updated": "2021-12-23",
        "certification_date": "2021-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6803076439",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6803076439",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessy Andrew
• Christle Andrews
• Jasmine Renee Andrews, RN
• Larna Gervasi Andrews, OTR/L
• Latiyana Andrews, PHYSICIAN ASSISTANT
• Nancy Andrews, CNP
• Rowena Andrews, LLMSW
• Tamika Andrews
• Tyler Andrews
• Rose Andriacchi, MD

• 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 Dec 23, 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.