Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
ANDREA SYNNESTVEDT RUSSELL, LMSW
Active Sole ProprietorSocial Worker · TRAVERSE CITY, MI
Registration Details
- NPI Number
- 1992803795
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 20, 2006 (19.584026725293 yrs)
- Last Updated
- Jan 17, 2024
- License
-
6801085121 (MI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
4230 COPPER RIDGE DRTRAVERSE CITY, MI, 496847256Browse MI providers · Browse ZIP 49684
- Phone
- 2319356380
- Fax
- 2319356920
- Primary Specialty
-
Social Worker
104100000X
Other Social Worker Providers in TRAVERSE CITY, MI
| Name | Credential | NPI |
|---|---|---|
| KERRI E MOSES | LMSW | 1275571085 |
| KYMBRA R. HANSEN-DUELL | LMSW | 1124124060 |
| ERIKA LYNN CARDINEL-SOLOMONSON | LMSW | 1790876910 |
| URSULA JOHNSON | LMSW | 1558430355 |
| JOSEPH L GARRITY | LMSW - CAC - 1 | 1699844563 |
| JAMES ARTHUR BEGEMAN | TLLP | 1497828040 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.