Individual provider Active NPI

Andrea Welsh, LCSW

  • Clinical Social Worker
  • Evansville, IN
National Provider Identifier
1508269234
Registry record updated Jan 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34006672A Issued in IN
Practice address
4929 Riverwind Pointe Dr
Evansville, IN 47715-6753
Phone
(812) 437-0095
NPI assigned
Oct 8, 2014
Last updated
Jan 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34006672A IN Primary

Addresses

Primary practice location

4929 Riverwind Pointe Dr
Evansville, IN 47715-6753

Mailing address

4929 Riverwind Pointe Dr Ste 102
Evansville, IN 47715-6753
Phone (812) 437-0095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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

Enrollment IDStateProvider typePAC IDDetails
I20150224000748 IN Practitioner - Clinical Social Worker 5698091320 Reassigns benefits to 1 organization
Practice locations: Evansville, IN

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4929 Riverwind Pointe Dr
Suite 102
Evansville, IN 47715-6753
Phone (812) 437-0095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Andrea Welsh LCSW LLC CurrentSince Feb 1, 2019 Accepting new patients
New Journeys Counseling Services, LLC PastSince Jan 19, 2020 Accepting new patients

Locations

4929 Riverwind Pointe Dr
Evansville, IN 47715
Phone (812) 437-0095

4929 Riverwind Pointe Dr
#102
Evansville, IN 47715
Phone (812) 437-0095

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1412726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578873600000",
    "number": "1508269234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4929 RIVERWIND POINTE DR STE 102",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477156753",
            "telephone_number": "812-437-0095",
            "fax_number": "812-437-0096"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4929 RIVERWIND POINTE DR",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477156753",
            "telephone_number": "812-437-0095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELSH",
        "first_name": "ANDREA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-08",
        "last_updated": "2020-01-13",
        "certification_date": "2020-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34006672A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evansville, IN

Sources for this page

Verify at the official NPI Registry.