Individual provider Active NPI

Andrea Marie Nofsinger, LMSW

  • Clinical Social Worker
  • Grand Haven, MI
National Provider Identifier
1659838480
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801103778 Issued in MI
Practice address
13433 152ND Ave
Grand Haven, MI 49417-8510
Phone
(616) 498-0851
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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 6801103778 MI Primary

Addresses

Primary practice location

13433 152ND Ave
Grand Haven, MI 49417-8510

Mailing address

13433 152ND Ave
Grand Haven, MI 49417-8510
Phone (616) 498-0851

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
I20190311001915 MI Practitioner - Clinical Social Worker 4486993300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Southern California Keck School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BCS of Michigan LLCGroup PAC ID 0840503652, 41 clinicians

Practice addresses (Care Compare)

3265 122ND Ave
R2
Allegan, MI 49010-9574
Phone (269) 673-2102

750 Fuller Ave NE
Spectrum Health Rehab and Nursing Center Full
Grand Rapids, MI 49503-1918
Phone (616) 486-3000

Merit-based Incentive Payment System (MIPS)

Final score
75.05 of 100Reported as group
Quality
0
Promoting interoperability
100
Improvement activities
40
Cost
83.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
BCS of Michigan LLC Clinical CurrentSince Feb 2, 2019 Accepting new patients
Trinity Health Grand Haven Hospital CurrentSince Nov 7, 2020 Accepting new patients
Geriatric Psychiatric Services PLLC Past Accepting new patients

Locations

3265 122nd Ave
#R2
Allegan, MI 49010
Phone (269) 673-2102

1445 Sheldon Rd
Ste 104
Grand Haven, MI 49417
Phone (616) 842-5193

1309 Sheldon Rd
Grand Haven, MI 49417
Phone (616) 842-3600

39465 W 14 Mile Rd
Novi, MI 48377
Phone 24885939000

5500 Fort St
Trenton, MI 48183
Phone (734) 287-3000

Organizations & group practices 3

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": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551312000000",
    "number": "1659838480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13433 152ND AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494178510",
            "telephone_number": "616-498-0851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13433 152ND AVE",
            "city": "GRAND HAVEN",
            "state": "MI",
            "postal_code": "494178510",
            "telephone_number": "616-498-0851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOFSINGER",
        "first_name": "ANDREA",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801103778",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Haven, MI

Sources for this page

Verify at the official NPI Registry.