Individual provider Active NPI

Andrea D Motley, LLMSW

  • Clinical Social Worker
  • Detroit, MI
National Provider Identifier
1902240757
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801091955 Issued in MI
Practice address
6309 Mack Ave
Detroit, MI 48207-2302
Phone
(313) 909-6903
NPI assigned
Apr 23, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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 6801091955 MI Primary

Addresses

Primary practice location

6309 Mack Ave
Detroit, MI 48207-2302

Mailing address

6309 Mack Ave
Detroit, MI 48207-2302
Phone (313) 909-6903

Other practice location 1

37450 Schoolcraft Rd Ste 110
Livonia, MI 48150-1000
Phone (734) 458-4611

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
I20200730001745 MI Practitioner - Clinical Social Worker 7315362985 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Wayne State University School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Henry Ford Health SystemGroup PAC ID 0547178311, 2,550 clinicians

Practice addresses (Care Compare)

2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600

Hospital & facility affiliations

  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801091955MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hegira Health, Inc. CurrentSince Apr 29, 2020 Accepting new patients
Henry Ford Health System CurrentSince May 7, 2021 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Henry Ford Health System Clinical CurrentSince May 7, 2021 Accepting new patients
Hegira Health, Inc Clinical CurrentSince Apr 29, 2020 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Feb 29, 2024 Accepting new patients
Team Wellness Center CurrentSince Jan 2, 2024 Accepting new patients
Team Mental Health Services Inc. CurrentSince Jan 2, 2024 Accepting new patients
Peace Manifested Counseling Service, LLC CurrentSince Jun 3, 2025 Accepting new patients
Team Mental Health Services Inc. Past Accepting new patients

Locations

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

290 Town Center Dr
Ste 400
Dearborn, MI 48126
Phone (248) 763-5289

6309 Mack Ave
Detroit, MI 48207
Phone (313) 331-3435

2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062

2925 Russell St
Detroit, MI 48207
Phone (313) 462-4714

250 Monroe Ave NW
Ste 400
Grand Rapids, MI 49503
Phone (616) 441-4616

37450 Schoolcraft Rd
Ste 110
Livonia, MI 48150
Phone (734) 458-4611

37450 Schoolcraft Rd
Ste 170
Livonia, MI 48150
Phone 7344584601235

8623 N Wayne Rd
Ste 123
Westland, MI 48185
Phone (734) 367-0469

Interoperability endpoints

  • Direct secure messaging: andreamotley@tdh.allscriptsdirect.net
  • Direct secure messaging: amotley533755@direct.hfhs.org

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1366675200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1902240757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6309 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072302",
            "telephone_number": "313-909-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6309 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482072302",
            "telephone_number": "313-909-6903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "37450 Schoolcraft Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481501000",
            "country_code": "US",
            "telephone_number": "734-458-4611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOTLEY",
        "first_name": "ANDREA",
        "middle_name": "D",
        "name_prefix": "Miss",
        "credential": "LLMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-23",
        "last_updated": "2023-12-08",
        "certification_date": "2023-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801091955",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.