Individual provider Active NPI

Andrea R Overall Rick, LICSW

  • Clinical Social Worker
  • Eagan, MN
National Provider Identifier
1235360652
Registry record updated Aug 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
22305 Issued in MN
Practice address
3464 Washington Dr Ste 115
Eagan, MN 55122-1438
Phone
(612) 440-3240
Fax
(651) 409-2029
NPI assigned
Aug 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2025

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 22305 MN Primary

Addresses

Primary practice location

3464 Washington Dr Ste 115
Eagan, MN 55122-1438

Mailing address

3464 Washington Dr Ste 115
Eagan, MN 55122-1438
Phone (612) 440-3240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20131002000099 MN Practitioner - Clinical Social Worker 8426282666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eagan Psychotherapy LLCGroup PAC ID 7012313976, 2 clinicians

Practice addresses (Care Compare)

3464 Washington Dr
Suite 115
Eagan, MN 55122-1453
Phone (651) 348-8551

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Eagan Psychotherapy LLC CurrentSince May 10, 2023 Accepting new patients
Washburn Center for Children Past Accepting new patients
Youable Emotional Health Services PastSince Nov 25, 2024 Accepting new patients

Locations

3464 Washington Dr
Ste 115
Saint Paul, MN 55122
Phone (651) 348-8551

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756339200000",
    "number": "1235360652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3464 WASHINGTON DR STE 115",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221438",
            "telephone_number": "612-440-3240",
            "fax_number": "651-409-2029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3464 WASHINGTON DR STE 115",
            "city": "EAGAN",
            "state": "MN",
            "postal_code": "551221438",
            "telephone_number": "612-440-3240",
            "fax_number": "651-409-2029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OVERALL RICK",
        "first_name": "ANDREA",
        "middle_name": "R",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2025-08-28",
        "certification_date": "2025-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "22305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagan, MN

Sources for this page

Verify at the official NPI Registry.