Andrea L. Thomas, LISW-CP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5523 Issued in SC

Practice address

711 Saint Andrews Blvd Ste a
Charleston, SC 29407-7196

Phone

(843) 901-9309

Fax

(843) 414-7572

NPI assigned

Jan 14, 2008

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Myrtle Beach Counseling Center

  • Mental Health Counselor
  • Myrtle Beach, SC
  • NPI 1235784661
  NPD
• Barrier Islands Psychiatry P a

  • Psychiatry Physician
  • Charleston, SC
  • NPI 1952517229
  NPD (past)
• Charleston Family Center, LLC

  • Marriage & Family Therapist
  • Charleston, SC
  • NPI 1619939873
  NPD (past)

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

{
    "created_epoch": "1200268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341878400000",
    "number": "1497931026",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "711-A ST. ANDREW BLVD",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294075983",
            "telephone_number": "843-901-9309",
            "fax_number": "843-414-7572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 SAINT ANDREWS BLVD STE A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294077196",
            "telephone_number": "843-901-9309",
            "fax_number": "843-414-7572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANDREA",
        "middle_name": "L.",
        "credential": "LISW-CP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-14",
        "last_updated": "2012-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "5523",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "QM0454",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Carmen Thomae, N.P.
• Thomas M Leland MD PA
• Thomas PR Rivers, MD., LLC
• Annabell Elaine Thomas-Harmon, AUD
• Alexander Thomas, M.D.
• Brady Thomas
• Carly A Thomas
• Christina Marie Thomas, FNP
• Christopher Stewart Thomas, MD
• Hannah Thomas, PHARMD

• Clinical Social Worker in Charleston, SC
• Providers in Charleston, SC by specialty
• Clinical Social Worker in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.