Andrea L Spicer, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.016405 Issued in IL

Practice address

1030 W Main St
Carlinville, IL 62626-9200

Phone

(217) 930-2106

NPI assigned

May 4, 2015

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Andrea L Carlson Former name

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Saint Louis University School of Medicine, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Acorn Counseling and Mediation LTDGroup PAC ID 6608127535, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Acorn Counseling & Mediation, LTD

  • Community/Behavioral Health Agency
  • Carlinville, IL
  • NPI 1225490915
  Medicare reassignment Care Compare group NPD
• Acorn Counseling & Mediation, LTD

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Carlinville, IL
  • NPI 1285476622
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1430697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478131200000",
    "number": "1083091615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1030 W MAIN ST",
            "address_2": "PO BOX 646",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626269200",
            "telephone_number": "217-930-2106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1030 W MAIN ST",
            "city": "CARLINVILLE",
            "state": "IL",
            "postal_code": "626269200",
            "telephone_number": "217-930-2106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPICER",
        "first_name": "ANDREA",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-04",
        "last_updated": "2016-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.016405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "CARLSON",
            "middle_name": "L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen C Rubrich, OD
• Rebecca Lynn Sanson, RPH
• Teran Schlechte
• Crystal Ann Schmidt, CCC-SLP
• Ashley K Simons, DNP FNP-C
• Wayne Spicer Jr., LCSW
• Springfield Clinic Carlinville Lab
• Springfield Clinic LLP
• Springfield Eye Consultants PC
• Steven a Carr DMD LTD

• Clinical Social Worker in Carlinville, IL
• Providers in Carlinville, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.