ANDREA THOMAS (LMSW) – Clinical Social Worker, NPI 1710596440

ANDREA THOMAS (LMSW) is a healthcare provider. based in Canton, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LMSW. They hold a License No. 6801096081 (MI). The NPI Number for ANDREA THOMAS (LMSW) is 1710596440

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
ANDREA THOMAS (LMSW)
NPI
1710596440
Phone
(734) 644-9114
Address
43555 FLEETWOOD CT
Enumeration Date
28 July 2020
Last Update Date
31 August 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7343350605
Graduation Year
2013 (13 years ago)
PAC ID
5597151522
Group Practice PAC ID
6800282963
Professional Enrollment ID
I20220331000590
Address ID
MI481701290PL340XXSTXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for ANDREA THOMAS (LMSW)

  • 43555 FLEETWOOD CT

    CANTON, MI 481874911

    Phone: (734) 644-9114

    Type: Mailing

  • 340 N MAIN ST STE 200

    PLYMOUTH, MI 481701250

    Phone: (734) 335-0028

    Type: Mailing

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: 2022-03-31

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220331000590IClinical Social WorkerMITBD

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.

Verify on CMS Revalidation Lookup Tool

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 48187)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6800282963View full group profile
NameSpecialtyState
Clinical Social WorkerMI
Mental Health CounselorNY
Clinical PsychologistMI
Clinical Social WorkerMI
Clinical Social WorkerCA
Clinical Social WorkerMI
Clinical Social WorkerMI
Clinical Social WorkerMD

Reviews

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Frequently asked questions

What is the 10-digit NPI for ANDREA THOMAS (LMSW)?
ANDREA THOMAS (LMSW) — NPI 1710596440 — is the standard way to identify this listing.
Can I rely on ANDREA THOMAS (LMSW) being an active provider?
As of the registry snapshot, ANDREA THOMAS (LMSW) is marked active.
What taxonomy line describes ANDREA THOMAS (LMSW)?
For research purposes, treat ANDREA THOMAS (LMSW) as Clinical Social Worker in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for ANDREA THOMAS (LMSW)?
ANDREA THOMAS (LMSW)'s geographic hint is Canton, Michigan in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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