MS. ANDREA L GROSS LMSW
NPI 1770808792
Social Worker - Clinical in Sterling Heights, MI

NPI Status: Active since April 01, 2010

Contact Information

41400 DEQUINDRE RD STE 110
STERLING HEIGHTS, MI
ZIP 48314
Phone: (248) 240-4510

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Secondary Locations
Medicare Participation & PECOS Status
Physician Visit Costs
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Female
Social Worker
Clinical
Accepts Insurance
PECOS Enrolled

About ANDREA GROSS

This page provides the complete NPI Profile along with additional information for Andrea Gross, a provider established in Sterling Heights, Michigan with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1770808792 assigned on April 2010. The practitioner's primary taxonomy code is 1041C0700X with license number 6801072530 (MI). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI: 1770808792
Provider Name: MS. ANDREA L GROSS LMSW
Gender: Female
Entity Type: Individual
Location Address: 41400 DEQUINDRE RD STE 110 STERLING HEIGHTS, MI 48314
Location Phone: (248) 240-4510
Mailing Address: 32253 SOUTHFIELD RD BEVERLY HILLS, MI 48025
Mailing Phone: (248) 240-4510
Is Sole Proprietor?: No
Enumeration Date: 04-01-2010
Last Update Date: 03-17-2018
Code Navigator

A clinical social worker like Andrea Gross is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

Location Map

Secondary Locations

1055 South Blvd E Suite 210
Rochester Hills, MI 48307
(248) 656-0500

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification: Social Worker Clinical
Taxonomy Code: 1041C0700X
Type: Behavioral Health & Social Service Providers
License No.: 6801072530
License State: MI
Taxonomy Description: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

McLaren Health Plan Community

MHP Bronze - HMO
MHP Bronze Saver (Expanded) - HMO
MHP Expanded Bronze Standard - HMO
MHP Gold - HMO
MHP Gold Standard - HMO
MHP Silver Exchange - HMO
MHP Silver Exchange Rewards - HMO
MHP Silver Standard - HMO
MHP Young Adult/Catastrophic - HMO

Priority Health

MyPriority Balanced Silver - HMO
MyPriority Balanced Silver Bronson Healthcare Partners - HMO
MyPriority Balanced Silver Corewell Health West Michigan Network - HMO
MyPriority Balanced Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
MyPriority Balanced Silver Southeast Michigan Network - HMO
MyPriority Balanced Silver Trinity Health East Network - HMO
MyPriority Enhanced Gold Bronson Healthcare Partners - HMO
MyPriority Enhanced Gold Corewell Health West Michigan Network - HMO
MyPriority Enhanced Gold Corewell Health West Michigan Network (Allegan, Barry) - HMO
MyPriority Enhanced Gold Southeast Michigan Network - HMO
MyPriority Enhanced Gold Trinity Health East Network - HMO
MyPriority Premier Silver - HMO
MyPriority Premier Silver Bronson Healthcare Partners - HMO
MyPriority Premier Silver Corewell Health West Michigan Network - HMO
MyPriority Premier Silver Corewell Health West Michigan Network (Allegan, Barry) - HMO
MyPriority Premier Silver Trinity Health East Network - HMO
MyPriority Standard Bronze - HMO
MyPriority Standard Bronze - Bronson Healthcare Partners - HMO
MyPriority Standard Bronze - Corewell Health West Michigan Network - HMO
MyPriority Standard Bronze - Corewell Health West Michigan Network (Allegan, Barry) - HMO

Providence Health Plan

Connect 1500 Gold - EPO
Connect 6000 Silver - EPO
Connect 9800 Bronze - EPO
HSA Qualified 7500 Bronze - Choice Network - EPO
HSA-E Qualified 7500 Bronze - Signature Network - EPO
Providence Oregon Standard Bronze Plan - Choice Network - EPO
Providence Oregon Standard Bronze Plan - Signature Network - EPO
Providence Oregon Standard Gold Plan - Choice Network - EPO
Providence Oregon Standard Gold Plan - Signature Network - EPO
Providence Oregon Standard Silver Plan - Choice Network - EPO
Providence Oregon Standard Silver Plan - Signature Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Andrea Gross is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME).

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: No

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 48314 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is NA

Average New Patient Price $0
Minimum New Patient Price $58.04
Maximum New Patient Price $177.36

Average New Patient Copayment $0
Minimum New Patient Copayment $14.51
Maximum New Patient Copayment $44.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

Average Established Patient Price $72.38
Minimum Established Patient Price $18.32
Maximum Established Patient Price $143.49

Average Established Patient Copayment $18.09
Minimum Established Patient Copayment $4.58
Maximum Established Patient Copayment $35.87

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1770808792, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 68. The final step is to find the difference between that total and the next multiple of ten (70 - 68 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 14 → 1 + 4

Pos 4

Unchanged

Pos 5

Doubled → 16 → 1 + 6

Pos 6

Unchanged

Pos 7

Doubled → 16 → 1 + 6

Pos 8

Unchanged

Pos 9

Doubled → 18 → 1 + 8

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 8 → 16 → 7 8 → 16 → 7 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 4 + 0 + 1 + 6 + 0 + 1 + 6 + 7 + 1 + 8 + 24 = 68

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 68 is 70. The difference is the calculated check digit.

70 - 68 = 2

This NPI is valid

The calculated check digit is 2, which matches the last digit of 1770808792.