| Andrea Cassell Lmsw | |
|
13561 S West Bay Shore Dr Ste 309 Traverse City MI 49684-6299 | |
| (231) 409-3900 | |
| Not Available |
| Full Name | Andrea Cassell Lmsw |
|---|---|
| Speciality | Clinic/Center |
| Location | 13561 S West Bay Shore Dr Ste 309, Traverse City, Michigan |
| Authorized Official Name and Position | Andrea Cassell (OWNER) |
| Authorized Official Contact | 2314093900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Andrea Cassell Lmsw 2536 Twin Bay Dr Traverse City MI 49696-8522 Ph: (231) 409-3900 | Andrea Cassell Lmsw 13561 S West Bay Shore Dr Ste 309 Traverse City MI 49684-6299 Ph: (231) 409-3900 |
| NPI Number | 1215455506 |
|---|---|
| Provider Enumeration Date | 09/06/2017 |
| Last Update Date | 03/17/2018 |
| Medicare PECOS PAC ID | 0446518286 |
|---|---|
| Medicare Enrollment ID | O20171227001431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215455506 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 6801093594 (Michigan) | Primary |
| Provider Name | Andrea Lea Cassell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083136105 PECOS PAC ID: 1355609199 Enrollment ID: I20180125002382 |
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