Andrea I Washington

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150009499 Issued in IL

Practice address

401 E 162ND St Ste 103
South Holland, IL 60473-2237

Phone

(773) 819-5504

NPI assigned

Sep 25, 2017

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 IL

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

Specialty

Clinical Social Worker

Education

Other, 1988

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Healing Empowering & Learning Professionals LLC

  dba HELP LLC South Suburban Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • South Holland, IL
  • NPI 1023595675
  NPD (past)

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

{
    "created_epoch": "1506297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529452800000",
    "number": "1427567296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "236 SUMMERFIELD DR",
            "city": "ROMEOVILLE",
            "state": "IL",
            "postal_code": "604465062",
            "telephone_number": "312-305-8950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 162ND ST STE 103",
            "city": "SOUTH HOLLAND",
            "state": "IL",
            "postal_code": "604732237",
            "telephone_number": "773-819-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASHINGTON",
        "first_name": "ANDREA",
        "middle_name": "I",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-25",
        "last_updated": "2018-06-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150009499",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thomas Waller
• Kathryn Walsh, MHS, CCC-SLP/L
• Walter Lagestee Incorporated (Walt's Pharmacy #1)
• Brianna Ward
• Ronald J. Waryjas, D.D.S., M.S.
• WCS Occupational Rehabilitation and Sports Medicine, Inc.
• Angella Webb, RN, MSN, FNP-BC
• Amanda L Wengert, PT
• Wendell A Wheeler, M.D.
• Johnny White, LCSW

• Social Worker in South Holland, IL
• Providers in South Holland, IL by specialty
• Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2018; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.