Andra Irene Arredondo, LCSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

SW0003040 Issued in FL

Practice address

3551 42ND Ave South
Suite B103
St Petersburg, FL 33711

Phone

(727) 865-3797

Fax

(727) 864-3465

NPI assigned

Sep 27, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ms. Andra Irene Ozolins Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Quality BHS Florida, LLC

  dba Quality Behavioral Health Services

  • Clinical Social Worker
  • Tampa, FL
  • NPI 1689297541
  Medicare reassignment NPD
• Telos Health Systems FL LLC

  • Internal Medicine Physician
  • Maitland, FL
  • NPI 1801624242
  Medicare reassignment NPD
• Baycare Behavioral Health Centers, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • St Petersburg, FL
  • NPI 1306057187
  NPD (past)

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467543512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6715 CANTON ST S",
            "city": "ST PETE",
            "state": "FL",
            "postal_code": "33712",
            "telephone_number": "727-867-4988",
            "fax_number": "727-867-4988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 42ND AVE SOUTH",
            "address_2": "SUITE B103",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "33711",
            "telephone_number": "727-865-3797",
            "fax_number": "727-864-3465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARREDONDO",
        "first_name": "ANDRA",
        "middle_name": "IRENE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "FL",
            "license": "SW0003040",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PROVIDER #",
            "identifier": "K4526",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDRA",
            "last_name": "OZOLINS",
            "middle_name": "IRENE",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kathleen Wiley Arnold, ARNP
• Kelly O'Mara Aronoff, DNP-CRNA
• Becky Grace Aronson
• Kaylin Christine Arpaia
• Monica Arreaga
• Maynor Arriaga II, LMHC
• Michelle M Arrieta-Gonzalez, M.D.
• Elizabeth Arrington, M.D.
• Lindsay Arrington
• Tiffiny Arson

• Social Worker in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.