Individual provider Active NPI

Andy Dukeshire, LCSW

  • Clinical Social Worker
  • Woodland Hills, CA
National Provider Identifier
1083445886
Registry record updated Sep 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
120166 Issued in CA
Practice address
PO Box 281
Woodland Hills, CA 91365-0281
Phone
(818) 538-6593
NPI assigned
Aug 13, 2024
Last updated
Sep 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 120166 CA Primary

Addresses

Primary practice location

PO Box 281
Woodland Hills, CA 91365-0281

Mailing address

PO Box 281
Woodland Hills, CA 91365-0281
Phone (818) 538-6593

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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

Enrollment IDStateProvider typePAC IDDetails
I20251104001601 CA Practitioner - Clinical Social Worker 7719477223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

18450 Arminta St Apt
Suite 106
Reseda, CA 91335-2015

500 Westover Dr
Sanford, NC 27330-8941

PO Box
Woodland Hills, CA 91365

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
120166CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sud Specialty Group - Ca Clinical CurrentSince Oct 16, 2025 Accepting new patients
Neuro Wellness Spa, a Medical PC Past Accepting new patients

Locations

520 Broadway
Ste 200
Santa Monica, CA 90401
Phone (949) 280-5295

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1723507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725667200000",
    "number": "1083445886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 281",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913650281",
            "telephone_number": "818-538-6593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 281",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913650281",
            "telephone_number": "818-538-6593"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUKESHIRE",
        "first_name": "ANDY",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-13",
        "last_updated": "2024-09-07",
        "certification_date": "2024-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "120166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodland Hills, CA

Sources for this page

Verify at the official NPI Registry.