Andjie Nneka Cherichel
Individual provider Active NPI Clinical Social Worker · Locust Grove, GA
NPI 1194398784 · NPPES record last updated Jul 30, 2025
Key facts
- NPI
- 1194398784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Practice address
- 315 Grand Traverse Way
Locust Grove, GA 30248-7437 - Phone
- (301) 204-6749
- NPI assigned
- Jul 21, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DC, GA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230508000204 | DC | Practitioner - Clinical Social Worker | 3577928977 | Reassigns benefits to 1 organization |
| I20231101002712 | GA | Practitioner - Clinical Social Worker | 3577928977 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MSW008911 | GA | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sondermind Provider Network LLC | Clinical | Current |
Accepting new patients |
| Arising Behavioral Health and Services LLC | Current |
Accepting new patients |
Locations
1300 I St NW
Ste 400E
Washington, DC 20005
Phone (202) 902-7324
3348 Peachtree Rd NE
Ste 700
Atlanta, GA 30326
Phone (720) 712-7900
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Yes | ||
| Social Worker | 104100000X | MSW008911 | GA |
Addresses
Primary practice location
315 Grand Traverse Way
Locust Grove, GA 30248-7437
Mailing address
315 Grand Traverse Way
Locust Grove, GA 30248-7437
Phone (301) 204-6749
Other providers in Locust Grove, GA
- Mahlory Carey
- Erica Zanae Carmouche
- Makayla A Carson
- Cliford Charles
- Roshonda R Chatman
- Aisha Cherry
- Comforcare Clayton Henry LLC
- Comfort Zone Personal Care Home LLC
- Beverly O Coogler
- Wyman Cook Jr.
All providers in Locust Grove, GA · Clinical Social Worker in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.