Laverne McAndrew, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

00077078 Issued in NY

Practice address

3043 State Route 4
Hudson Falls, NY 12839-9632

Phone

(518) 747-2284

Fax

(518) 747-2253

NPI assigned

Sep 9, 2008

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 identifiers 3

Medicare fee-for-service enrollment

Enrolled in NY

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

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Adirondack Samaritan Counseling Center, IncGroup PAC ID 2466446117, 9 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.

• Adirondack Samaritan Counseling Center, Inc

  • Adult Mental Health Clinic/Center
  • Hudson Falls, NY
  • NPI 1437213097
  Medicare reassignment Care Compare group NPD
• Warren Washington Association for Mental Health, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hudson Falls, NY
  • NPI 1073549796
  Medicare reassignment

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343088000000",
    "number": "1104075639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3043 STATE ROUTE 4",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128399632",
            "telephone_number": "518-747-2284",
            "fax_number": "518-747-2253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 STATE ROUTE 4",
            "city": "HUDSON FALLS",
            "state": "NY",
            "postal_code": "128399632",
            "telephone_number": "518-747-2284",
            "fax_number": "518-747-2253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCANDREW",
        "first_name": "LAVERNE",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2012-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "00077078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNOW INTEGRATED",
            "identifier": "00400166001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00077078",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12018412",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katie Mann, LMHC
• Irene Marshall, MS
• Krystin Martin
• Martins Foods of South Burlington LLC
• Stephanie Mason
• McCann Drug Co Inc
• McCann Drug Co Inc
• Richard Kevin McCann
• John McCloskey, PH.D,
• Patrick Harold McCullough, D.D.S.

• Clinical Social Worker in Hudson Falls, NY
• Providers in Hudson Falls, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.