Individual provider Active NPI

Andrea Lindsay Washo, LCSW, LISW

  • Clinical Social Worker
  • Rock Hill, SC
National Provider Identifier
1417094434
Registry record updated Apr 18, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
9066 Issued in SC
Practice address
1624 Ebenezer Rd
Rock Hill, SC 29732-1809
Phone
(803) 226-7189
Fax
(866) 402-4518
NPI assigned
Jan 31, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 9066 SC Primary
Clinical Social Worker 1041C0700X C005905 NC

Addresses

Primary practice location

1624 Ebenezer Rd
Rock Hill, SC 29732-1809

Mailing address

1624 Ebenezer Rd
Rock Hill, SC 29732-1809
Phone (803) 226-7189

Other identifiers 2

IdentifierTypeStateIssuer
9066OtherSCSOUTH CAROLINA BOARD OF SOCIAL WORK EXAMINERS
C005905OtherNCNORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20080729000266 SC Practitioner - Clinical Social Worker 4284712977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1624 Ebenezer Rd
Rock Hill, SC 29732-1809
Phone (803) 226-7189

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9066SCMDProfessional Counselor
C005905NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Saluda Counseling Services Center Inc. Clinical CurrentSince Jun 1, 2008 Accepting new patients
Andrea L. Washo, Lisw-CP, LLC Clinical CurrentSince Apr 7, 2017 Accepting new patients

Locations

1624 Ebenezer Rd
Rock Hill, SC 29732
Phone (803) 226-7189

2400 Main St W
Rock Hill, SC 29732
Phone (803) 327-6103

Organizations & group practices 2

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": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1417094434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321809",
            "telephone_number": "803-226-7189",
            "fax_number": "866-402-4518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 EBENEZER RD",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297321809",
            "telephone_number": "803-226-7189",
            "fax_number": "866-402-4518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHO",
        "first_name": "ANDREA",
        "middle_name": "LINDSAY",
        "credential": "LCSW, LISW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-31",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "9066",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005905",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA BOARD OF SOCIAL WORK EXAMINERS",
            "identifier": "9066",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA SOCIAL WORK CERTIFICATION AND LICENSURE BOARD",
            "identifier": "C005905",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.