Individual provider Active NPI

Andrew Garcia, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1548099724
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801119436 Issued in MI
Practice address
1945 Pauline Blvd Ste 21C
Ann Arbor, MI 48103-5021
Phone
(248) 851-7739
NPI assigned
Jul 29, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 1120123 MA
Clinical Social Worker 1041C0700X 6801119436 MI Primary

Addresses

Primary practice location

1945 Pauline Blvd Ste 21C
Ann Arbor, MI 48103-5021

Mailing address

1153 Centre St
Jamaica Plain, MA 02130-3446
Phone (617) 983-7000

Other practice location 1

1153 Centre St
Jamaica Plain, MA 02130-3446
Phone (617) 983-7000

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
I20250519001967 MI Practitioner - Clinical Social Worker 3274051776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

32841 Middlebelt Rd
Suite 403
Farmington Hills, MI 48334-1714
Phone (734) 761-2727

32841 Middlebelt Rd
Suite 403
Farmington Hills, MI 48334-1771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1120123MAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Mel Bornstein Clinic for Psychoanalysis and Psychotherapy CurrentSince Mar 1, 2025 Accepting new patients

Locations

1945 Pauline Blvd
Ste 21C
Ann Arbor, MI 48103
Phone (248) 851-7739

32841 Middlebelt Rd
Ste 403
Farmington Hills, MI 48334
Phone (248) 851-7739

Organizations & group practices 1

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": "1722211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1548099724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1153 CENTRE ST",
            "city": "JAMAICA PLAIN",
            "state": "MA",
            "postal_code": "021303446",
            "telephone_number": "617-983-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 PAULINE BLVD STE 21C",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481035021",
            "telephone_number": "248-851-7739"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1153 Centre St",
            "address_purpose": "LOCATION",
            "city": "Jamaica Plain",
            "state": "MA",
            "postal_code": "021303446",
            "country_code": "US",
            "telephone_number": "617-983-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "ANDREW",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-07-29",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MA",
            "license": "1120123",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801119436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.