Individual provider Active NPI

Alessandra Iaderosa, MSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1528654241
Registry record updated Dec 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801058013 Issued in MI
Practice address
220 Collingwood St Ste 140
Ann Arbor, MI 48103-3842
Phone
(734) 274-0536
NPI assigned
Dec 16, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801058013 MI Primary

Addresses

Primary practice location

220 Collingwood St Ste 140
Ann Arbor, MI 48103-3842

Mailing address

4375 Sunderland Way
Ann Arbor, MI 48103-9460
Phone (734) 255-5281

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210201001156 MI Practitioner - Clinical Social Worker 0547674608 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maturity MattersGroup PAC ID 5597120204, 17 clinicians
Heckendorn Consultation and Therapy PLLCGroup PAC ID 1254551096, 2 clinicians

Practice addresses (Care Compare)

1880 W Stadium Blvd
Ann Arbor, MI 48103-4504
Phone (734) 369-6163

210 Collingwood St
Suite 120B
Ann Arbor, MI 48103-3813
Phone (734) 274-0536

220 Collingwood St
Suite 140
Ann Arbor, MI 48103-3842

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801058013MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Heckendorn Consultation and Therapy, PLLC Clinical CurrentSince Jan 20, 2021 Accepting new patients
Maturity Matters Clinical CurrentSince Feb 15, 2026 Accepting new patients

Locations

220 Collingwood St
Ste 140
Ann Arbor, MI 48103
Phone (734) 274-0536

210 Collingwood St
Ste 120B
Ann Arbor, MI 48103
Phone (734) 274-0536

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608508800000",
    "number": "1528654241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4375 SUNDERLAND WAY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481039460",
            "telephone_number": "734-255-5281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 COLLINGWOOD ST STE 140",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481033842",
            "telephone_number": "734-274-0536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IADEROSA",
        "first_name": "ALESSANDRA",
        "name_prefix": "Ms.",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-21",
        "certification_date": "2020-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801058013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.