Active NPI
Andrea Suzanne Lunn, LMSW
- Clinical Social Worker
- Howell, MI
National Provider Identifier
1649635756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801098642
- Practice address
- 10075 Bergin Rd
Howell, MI 48843-7049 - Phone
- (810) 279-0515
- NPI assigned
- Dec 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6801098642 | MI | Primary |
Addresses
Primary practice location
10075 Bergin Rd
Howell, MI 48843-7049
Mailing address
10075 Bergin Rd Ste C
Howell, MI 48843-7049
Phone (810) 444-2484
Other names 1
- Andrea Suzanne Beaulieu
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 1, 2025 through Oct 1, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801098642 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1450310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649030400000",
"number": "1649635756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10075 BERGIN RD STE C",
"city": "HOWELL",
"state": "MI",
"postal_code": "488437049",
"telephone_number": "810-444-2484",
"fax_number": "810-272-4991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10075 BERGIN RD",
"city": "HOWELL",
"state": "MI",
"postal_code": "488437049",
"telephone_number": "810-279-0515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUNN",
"first_name": "ANDREA",
"middle_name": "SUZANNE",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-12-17",
"last_updated": "2022-04-04",
"certification_date": "2022-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801098642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDREA",
"last_name": "BEAULIEU",
"middle_name": "SUZANNE",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Howell, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.