Andrea C Blackshear, LCSW, CACII, MAC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW09933504 Issued in CO

Practice address

11905 Idlewood Dr
Savannah, GA 31419-1811

Phone

(912) 844-3763

NPI assigned

Oct 1, 2012

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787788800000",
    "number": "1528319597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11905 IDLEWOOD DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191811",
            "telephone_number": "912-844-3763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11905 IDLEWOOD DR",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314191811",
            "telephone_number": "912-844-3763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKSHEAR",
        "first_name": "ANDREA",
        "middle_name": "C",
        "credential": "LCSW, CACII, MAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2026-08-27",
        "certification_date": "2026-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW09933504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Michelle Black, LPC
• Harold A Black, D.D.S.
• Lashay Black
• Mary Helen Black, FNP-BC
• Valerie A Black, LPN059617
• Brandi Dawn Blackwell
• Bree Ellesse Blackwell, AUD
• Jack Thomas Blackwell Jr., MD
• Leah Nicole Blackwell, AUD
• Mark Blahove, MD

• Clinical Social Worker in Savannah, GA
• Providers in Savannah, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; 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.