Provider Demographics
NPI:1427384718
Name:ANDES, MICHAEL DUNCAN (LMSW)
Entity type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:DUNCAN
Last Name:ANDES
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:621 W SUMMIT ST
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48103-3134
Mailing Address - Country:US
Mailing Address - Phone:734-662-5215
Mailing Address - Fax:
Practice Address - Street 1:621 W SUMMIT ST
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48103-3134
Practice Address - Country:US
Practice Address - Phone:734-662-5215
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-22
Last Update Date:2009-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010051541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical