JESSICA ANDREASEN (LMSW) – Clinical Social Worker, NPI 1699137620
Clinical Social Worker
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
4,821 CLINICAL SOCIAL WORKER in MI
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Provider Addresses for JESSICA ANDREASEN (LMSW)
Henry Ford Health System, 1, Ford Place, Henry Ford Health System Corporate Office, New Center, Detroit, Wayne County, Michigan, 48202, United States
DETROIT, MI 482023450
Phone: (313) 874-6639
Type: Location
2051 W Grand Blvd
Detroit, MI 482081105
Phone: (313) 961-3221
Type: Location
1114, Saint Aubin Place, Town Square Cooperative, Detroit, Wayne County, Michigan, 48207, United States
DETROIT, MI 482073816
Phone: (248) 568-0538
Type: Mailing
23100 JEFFERSON AVE
SAINT CLAIR SHORES, MI 480802756
Phone: (586) 335-2006
Fax: (586) 279-3886
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-06-22
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160622001568 | I | Clinical Social Worker | MI | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 48202)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | MI | |
| Mental Health Counselor | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI | |
| Mental Health Counselor | MI | |
| Clinical Social Worker | MI | |
| Clinical Social Worker | MI |
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