Individual provider Active NPI

Andrea Richmond, LMSWA

  • Clinical Social Worker
  • New Bern, NC
National Provider Identifier
1225623820
Registry record updated Mar 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
P015795 Issued in NC
Practice address
2407 Grace Ave
New Bern, NC 28562-4416
Phone
(252) 514-7766
NPI assigned
Mar 4, 2021
Last updated
Mar 4, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2021

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 P015795 NC Primary

Addresses

Primary practice location

2407 Grace Ave
New Bern, NC 28562-4416

Mailing address

120 Nannie LN
Stella, NC 28582-9663
Phone (910) 381-3858

Other practice location 1

4218 Arendell St
Morehead City, NC 28557-2866
Phone (252) 514-7766

Other practice location 2

714 W Corbett Ave
Swansboro, NC 28584-8438
Phone (252) 514-7766

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20260317000972 NC Practitioner - Clinical Social Worker 0244713378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Clarity Counseling Collective PCGroup PAC ID 6800378126, 3 clinicians

Practice addresses (Care Compare)

714 W Corbett Ave
Suite 8
Swansboro, NC 28584-8437
Phone (262) 722-9992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P015795NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Clarity Counseling Collective PC CurrentSince Feb 7, 2026 Accepting new patients

Locations

714 W Corbett Ave
Swansboro, NC 28584
Phone (252) 563-8084

714 W Corbett Ave
Ste 8
Swansboro, NC 28584
Phone (262) 722-9992

Organizations & group practices 1

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": "1614816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614816000000",
    "number": "1225623820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 NANNIE LN",
            "city": "STELLA",
            "state": "NC",
            "postal_code": "285829663",
            "telephone_number": "910-381-3858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 GRACE AVE",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285624416",
            "telephone_number": "252-514-7766"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4218 Arendell St",
            "address_purpose": "LOCATION",
            "city": "Morehead City",
            "state": "NC",
            "postal_code": "285572866",
            "country_code": "US",
            "telephone_number": "252-514-7766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "714 W Corbett Ave",
            "address_purpose": "LOCATION",
            "city": "Swansboro",
            "state": "NC",
            "postal_code": "285848438",
            "country_code": "US",
            "telephone_number": "252-514-7766",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RICHMOND",
        "first_name": "ANDREA",
        "credential": "LMSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-04",
        "last_updated": "2021-03-04",
        "certification_date": "2021-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P015795",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.