Andrea Jawon Foxworth, LCPC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

14239 Issued in MD

Practice address

1500 Union Avenue
Suite 117
Baltimore, MD 21211-1975

Phone

(443) 904-2412

Fax

(443) 817-0731

NPI assigned

Mar 17, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

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 and National Provider Directory roles.

• Premier Health Care, LLC

  • Psychiatry Physician
  • Silver Spring, MD
  • NPI 1285017822

  DC, Multi-Specialty

  Medicare reassignment NPD
• Boundless Innovations for Holistc Living

  • Community/Behavioral Health Agency
  • Baltimore, MD
  • NPI 1437592938
  NPD Authorized official
• Premier Health Care LLC

  • Internal Medicine Physician
  • Clinton, MD
  • NPI 1528538758
  NPD
• Premier Health Care LLC

  • Psychiatry Physician
  • Silver Spring, MD
  • NPI 1871962548

  Clinical

  NPD (past)

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

{
    "created_epoch": "1237248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1477794790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1313 1/2 KENT AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212074829",
            "telephone_number": "443-904-2412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 UNION AVENUE",
            "address_2": "SUITE 117",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111975",
            "telephone_number": "443-904-2412",
            "fax_number": "443-817-0731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FOXWORTH",
        "first_name": "ANDREA",
        "middle_name": "JAWON",
        "name_prefix": "Ms.",
        "credential": "LCPC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-17",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2058",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nance J Fox, P.A.-C
• Nolan Fox, MD
• Rebecca Fox, LGSW
• Renee E Fox, MD
• William Fox, PA
• Karen Foxworth
• Melissa Anne Foy, DO
• Olivia Foya, DNP
• Andrea Foye-Tranchitella, M.D.
• William Joseph Fracassi Jr.

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; 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.