Andrew Edward Moldenhauer, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6801095699 Issued in MI

Practice address

36400 Woodward Ave Ste 202
Bloomfield Hills, MI 48304-0913

Phone

(248) 633-8606

NPI assigned

Aug 7, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Richard Kneip PHD PCGroup PAC ID 4880768415, 243 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Richard Kneip, PH.D., P.C.

  dba Great Lakes Psychology Group

  • Community/Behavioral Health Agency
  • Clarkston, MI
  • NPI 1679739700
  Medicare reassignment Care Compare group NPD
• Easterseals Morc Health Care, Inc.

  dba Easter Seals-Michigan, Inc

  • Psychiatry Physician
  • Auburn Hills, MI
  • NPI 1376526616
  Medicare reassignment NPD
• The Mindfulness Gym LLC

  • Clinical Social Worker
  • Bloomfield Hills, MI
  • NPI 1487307534
  NPD Authorized official

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

{
    "created_epoch": "1375833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736640000000",
    "number": "1881026284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10179 POKAGON LOOP",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468180191",
            "telephone_number": "248-633-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36400 WOODWARD AVE STE 202",
            "city": "BLOOMFIELD HILLS",
            "state": "MI",
            "postal_code": "483040913",
            "telephone_number": "248-633-8606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10179 Pokagon Loop",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468180191",
            "country_code": "US",
            "telephone_number": "248-633-8606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOLDENHAUER",
        "first_name": "ANDREW",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-08-07",
        "last_updated": "2025-01-12",
        "certification_date": "2025-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IN",
            "license": "34011272A",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801095699",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6801095699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shawn Mobley-Sulich, MSW PH D
• Zakkee Moghul, DPT
• Ali Mohamad
• Ericka Michelle Mojica
• Trisha Mojica
• Deanna Mollicone, RDN
• Mommagrace Investments Incorporated (Home Helpers Home Care of Troy, MI)
• Monarch Behavioral Health, PLLC
• Janet Reed Montgomery, LLPC
• Jessica Mooney

• Social Worker in Bloomfield Hills, MI
• Providers in Bloomfield Hills, MI by specialty
• Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.