ANDREA MICHELLE ANDERSON (MSW, LCSW) – Professional Counselor, NPI 1508450735

ANDREA MICHELLE ANDERSON (MSW, LCSW) is a healthcare provider. based in Neillsville, Wisconsin. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials MSW, LCSW. They hold a License No. 11133-123 (WI). The NPI Number for ANDREA MICHELLE ANDERSON (MSW, LCSW) is 1508450735

Main info

Female
6 Years Of Experience
Name
ANDREA MICHELLE ANDERSON (MSW, LCSW)
NPI
1508450735
Phone
(715) 743-5208
Address
517 COURT ST RM 503
Enumeration Date
28 February 2021
Last Update Date
17 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7157435208
Graduation Year
2020 (6 years ago)
PAC ID
9931553351
Group Practice PAC ID
3476464843
Professional Enrollment ID
I20231003002945
Address ID
WI544561976NE517XXSTXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience39
Completeness75
Years active:5State licenses:1Digital endpointsOther names

1,447 CLINICAL SOCIAL WORKER in WI

Provider Addresses for ANDREA MICHELLE ANDERSON (MSW, LCSW)

  • 517 COURT ST RM 503

    NEILLSVILLE, WI 544561976

    Phone: (715) 743-5208

    Fax: (715) 743-5209

    Type: Location

  • 3703 OAKWOOD HILLS PKWY STE 100

    EAU CLAIRE, WI 547014458

    Phone: (651) 628-9566

    Type: Location

  • 1900 SILVER LAKE RD NW STE 110

    NEW BRIGHTON, MN 551121789

    Phone: (651) 628-9566

    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: 2023-10-03

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
I20231003002945IClinical Social WorkerWITBD

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 54456)

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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: 3476464843View full group profile
NameSpecialtyState
Clinical Social WorkerWI
Mental Health CounselorWI
P S Y C H I A T R YWI
Clinical PsychologistWI
Clinical Social WorkerWI
Mental Health CounselorWI
Mental Health CounselorWI

Reviews

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Frequently asked questions

How do payers reference ANDREA MICHELLE ANDERSON (MSW, LCSW)?
For ANDREA MICHELLE ANDERSON (MSW, LCSW), use NPI 1508450735 as the unique 10-digit identifier.
Active or inactive — what applies to ANDREA MICHELLE ANDERSON (MSW, LCSW)?
You should see ANDREA MICHELLE ANDERSON (MSW, LCSW) as active in CMS-hosted NPPES data.
What area of care is associated with ANDREA MICHELLE ANDERSON (MSW, LCSW)?
ANDREA MICHELLE ANDERSON (MSW, LCSW)'s record emphasizes Professional Counselor. Clinical services aligned with this taxonomy classification.
Is ANDREA MICHELLE ANDERSON (MSW, LCSW) located near Neillsville?
ANDREA MICHELLE ANDERSON (MSW, LCSW) currently maps to Neillsville, Wisconsin in this extract.
Does ANDREA MICHELLE ANDERSON (MSW, LCSW) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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