ANDREA SYNNESTVEDT RUSSELL (NPI# 1992803795) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992803795 |
| Entity Type | Individual |
| Full Name | ANDREA SYNNESTVEDT RUSSELL |
| Credential | LMSW |
| Practice Address |
800 Cottageview Dr Ste 1076 Traverse City MI 49684-2614 |
| Practice Telephone | 2312186664 |
| Mailing Telephone | 2312186664 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2016-12-02 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 6801085121 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730699182 | Andrea Russell | Counselor | 20280 Governors Hwy Ste 207, Olympia Fields, IL 60461-1028 | 2017-10-11 |
| 1205267762 | Andrea Russell | Speech-Language Pathologist | 921 Glendora Rd S, Kissimmee, FL 34759-3653 | 2013-12-10 |
| 1487734067 | Andrea W. Russell | Dentist | 8014 Cumming Hwy, Suite 401, Canton, GA 30115-9339 | 2006-10-17 |
| 1225544380 | Andrea Mary Russell | Registered Nurse | 1010 E and West Rd, West Seneca, NY 14224-3602 | 2017-12-27 |
| 1396297768 | Andrea Russell | Social Worker | 1001 N J St, Tacoma, WA 98403-2125 | 2016-11-01 |
| 1225454846 | Andrea Russell | Behavioral Analyst | 1218 Griegos Rd Nw, Albuquerque, NM 87107-3752 | 2014-03-06 |
| 1770822843 | Andrea Renee Russell | Social Worker | 2325 S Harvard Ave, Tulsa, OK 74114-3300 | 2013-02-08 |
| 1124306576 | Andrea Russell | Social Worker | 1436 S Shelby St, Louisville, KY 40217-1195 | 2011-08-02 |
| 1447568365 | Andrea Russell | Pharmacist | 4881 Sugar Maple Dr, Wpafb, OH 45433-5529 | 2010-09-14 |
| 1295048536 | Andrea Nicole Russell | Optometrist | 428 Windmere Dr, Suite 100, State College, PA 16801-7644 | 2010-07-15 |
| Street Address |
800 COTTAGEVIEW DR STE 1076 |
| City | TRAVERSE CITY |
| State | MI |
| Zip Code | 49684-2614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124641758 | Karen Anne Paulosky | Registered Nurse | 226 S Madison St, Traverse City, MI 49684 | 2020-05-18 |
| 1891314795 | Jaclyn Elizabeth Sylvain | Student in an Organized Health Care Education/Training Program | Munson Family Practice Center, 1400 Medical Campus Drive, Traverse City, MI 49684 | 2020-04-10 |
| 1285282988 | Madelyn Drumm | Dietitian, Registered | 217 S. Madison St., Suite 3022, Traverse City, MI 49684 | 2019-08-27 |
| 1265917686 | Kacie Danielle Heading | Social Worker | 12719 S. West Bay Shore Drive, Suite 9, Traverse City, MI 49684 | 2018-10-02 |
| 1881178325 | Jacob White Ph.d., Pllc | Psychologist | 3537 W. Front Street, Suite F, Traverse City, MI 49684 | 2018-09-20 |
| 1144702572 | Constance Baab, Phd, Lmsw, Pllc | Social Worker | 3301 Veterans Drive Suite 127, Traverse City, MI 49684 | 2018-09-01 |
| 1346732880 | The Skin Cancer and Dermatology Center Plc | Dermatology | 1225 W Front St Ste 2, Traverse City, MI 49684 | 2018-05-31 |
| 1790283851 | Lisa Louise Kleyps | Massage Therapist | 3337 W. South Airport Road #2, Traverse City, MI 49684 | 2018-01-24 |
| 1114447646 | Brittany Alexandra Prior | Physical Therapist | 3899 W Front Sreet, Unit 3, Traverse City, MI 49684 | 2017-06-26 |
| 1568902963 | Jennifer Scott | Behavior Technician | 515 W 14th St Unit D, Traverse City, MI 49684 | 2017-03-03 |
| Find all providers in zip 49684 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093273377 | Larch Tree Counseling and Wellness LLC | Social Worker | 1515 Cass St Ste D, Traverse City, MI 49684-4156 | 2019-03-06 |
| 1558830323 | Sheri Lynn Hadfield | Social Worker | 3298 Veterans Dr, Traverse City, MI 49684-4725 | 2018-11-21 |
| 1982189304 | Ashley Dunham-smith | Social Worker | 116 E Eighth St, Traverse City, MI 49684-2524 | 2018-10-02 |
| 1437667904 | Nichole Dunwiddie | Social Worker | 4082 Evelyn St, Traverse City, MI 49686-3706 | 2018-01-17 |
| 1629511316 | Kaitlyn Grangood | Social Worker | 415 Munson Avenue, Ste 101, Traverse City, MI 49686 | 2016-11-29 |
| 1487103610 | Laura Christine Field | Social Worker | 6325 Cherry Blossom Dr, Traverse City, MI 49685-5000 | 2016-09-29 |
| 1356705271 | Juna Kay Spencer | Social Worker | 4024 Wyatt Rd, Traverse City, MI 49684-8273 | 2016-04-06 |
| 1184000721 | Kimberly Kucharski | Social Worker | 1014 Sixth St Ste 101, Traverse City, MI 49684-2398 | 2015-08-05 |
| 1750786711 | Jan Camille Bailey | Social Worker | 1575 N East Silver Lake Rd, Traverse City, MI 49685-8030 | 2014-11-01 |
| 1427499672 | Signe Lynn Ruddy | Social Worker | 105 Hall St Unit B, Traverse City, MI 49684-2288 | 2013-07-16 |
| Find all providers in TRAVERSE CITY | ||||
| City | TRAVERSE CITY |
| Zip Code | 49684 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.