Active NPI
Andrea Nicole Hodges, LMSW
- Social Worker
- Lizella, GA
National Provider Identifier
1457695603
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- MSW001852
- Practice address
- 149 Hidden Creek Cir
Lizella, GA 31052-5553 - Phone
- (478) 737-8661
- NPI assigned
- Nov 11, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | MSW001852 | GA | Primary |
Addresses
Primary practice location
149 Hidden Creek Cir
Lizella, GA 31052-5553
Mailing address
149 Hidden Creek Cir
Lizella, GA 31052-5553
Phone (478) 737-8661
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
| License | State | Type | Specialty |
|---|---|---|---|
| MSW001852 | GA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352592000000",
"number": "1457695603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "149 HIDDEN CREEK CIR",
"city": "LIZELLA",
"state": "GA",
"postal_code": "310525553",
"telephone_number": "478-737-8661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "149 HIDDEN CREEK CIR",
"city": "LIZELLA",
"state": "GA",
"postal_code": "310525553",
"telephone_number": "478-737-8661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HODGES",
"first_name": "ANDREA",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "LMSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-11",
"last_updated": "2012-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "GA",
"license": "MSW001852",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lizella, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.