Andrea Jean Doctor, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LSC16960 Issued in CA

Practice address

3835 E Thousand Oaks Blvd # 328
Westlake Village, CA 91362-3637

Phone

(818) 722-6363

NPI assigned

Jul 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

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.

• Grow Healthcare Group PC

  • Mental Health Counselor
  • San Jose, CA
  • NPI 1154994846

  Clinical

  Medicare reassignment NPD
• Apguard Hospice, LLC

  • Community Based Hospice Care Agency
  • Riverside, CA
  • NPI 1386208379
  NPD

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1194746594",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3835 E THOUSAND OAKS BLVD # 328",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623637",
            "telephone_number": "818-722-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3835 E THOUSAND OAKS BLVD # 328",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913623637",
            "telephone_number": "818-722-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOCTOR",
        "first_name": "ANDREA",
        "middle_name": "JEAN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-21",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LSC16960",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tishanna Dillard
• Mary Susan Dillon Tschudi, LMFT
• DLV Vision Management LLC
• DLV Vision, Inc
• Dna Home Care Services, Inc.
• Christopher Domasin, LMFT
• Amanda Antoinette Dominguez, PA-C
• Deborah Dominguez, MFT
• Donald T Hendrixson DMD Inc
• Donna Orcutt Rattigan, Licensed Clinical Social Worker, Inc.

• Clinical Social Worker in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.