Active NPI
Andrea L Gross, LMSW
- Clinical Social Worker
- Sterling Heights, MI
National Provider Identifier
1770808792
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6801072530
- Practice address
- 41400 Dequindre Rd Ste 110
Sterling Heights, MI 48314-3751 - Phone
- (248) 240-4510
- NPI assigned
- Apr 1, 2010
- Sex
- Female
- Sole proprietor
- No
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 | 6801072530 | MI | Primary |
Addresses
Primary practice location
41400 Dequindre Rd Ste 110
Sterling Heights, MI 48314-3751
Mailing address
32253 Southfield Rd
Beverly Hills, MI 48025-3162
Phone (248) 240-4510
Other practice location 1
1055 South Blvd E
Suite 210
Rochester Hills, MI 48307-5465
Phone (248) 656-0500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801072530 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1270080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1770808792",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "32253 SOUTHFIELD RD",
"city": "BEVERLY HILLS",
"state": "MI",
"postal_code": "480253162",
"telephone_number": "248-240-4510"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "41400 DEQUINDRE RD STE 110",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483143751",
"telephone_number": "248-240-4510"
}
],
"practiceLocations": [
{
"address_1": "1055 South Blvd E",
"address_2": "Suite 210",
"address_purpose": "LOCATION",
"city": "Rochester Hills",
"state": "MI",
"postal_code": "483075465",
"country_code": "US",
"telephone_number": "248-656-0500",
"fax_number": "248-656-0501",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GROSS",
"first_name": "ANDREA",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-04-01",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6801072530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.