Individual provider Active NPI

Andrea Negron, LSW, CSWA

  • Clinical Social Worker
  • Hermiston, OR
National Provider Identifier
1205535192
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
A15653 Issued in OR
Practice address
33931 River View Dr
Hermiston, OR 97838-7303
Phone
(808) 464-1744
NPI assigned
Feb 28, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LSW3055 HI
Clinical Social Worker 1041C0700X A15653 OR Primary

Addresses

Primary practice location

33931 River View Dr
Hermiston, OR 97838-7303

Mailing address

33931 River View Dr
Hermiston, OR 97838-7303
Phone (808) 464-1744

Other practice location 1

15-728 Puni Mauka Loop S
Pahoa, HI 96778-9642
Phone (808) 464-1744

Other practice location 2

224 Kamehameha Ave Ste 201
Hilo, HI 96720-2860
Phone (808) 825-4214

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LSW3055HIMDSocial Worker
A15653ORMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1677542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1205535192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33931 RIVER VIEW DR",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978387303",
            "telephone_number": "808-464-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33931 RIVER VIEW DR",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978387303",
            "telephone_number": "808-464-1744"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15-728 Puni Mauka Loop S",
            "address_purpose": "LOCATION",
            "city": "Pahoa",
            "state": "HI",
            "postal_code": "967789642",
            "country_code": "US",
            "telephone_number": "808-464-1744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "224 Kamehameha Ave Ste 201",
            "address_purpose": "LOCATION",
            "city": "Hilo",
            "state": "HI",
            "postal_code": "967202860",
            "country_code": "US",
            "telephone_number": "808-825-4214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEGRON",
        "first_name": "ANDREA",
        "credential": "LSW, CSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-28",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "HI",
            "license": "LSW3055",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "A15653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hermiston, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.