Individual provider Active NPI

Andrea Cennington, LCSW

  • Clinical Social Worker
  • Wesley Chapel, FL
National Provider Identifier
1588056410
Registry record updated Mar 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW19787 Issued in FL
Practice address
9092 Rally Spring Loop
Wesley Chapel, FL 33545-2324
Phone
(352) 549-0932
NPI assigned
Mar 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 26, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X L137676 OR
Clinical Social Worker 1041C0700X C009578 NC
Clinical Social Worker 1041C0700X 097291006 VA
Clinical Social Worker 1041C0700X 09929128 CO
Clinical Social Worker 1041C0700X 27671 MD
Clinical Social Worker 1041C0700X SW19787 FL Primary
Clinical Social Worker 1041C0700X LC200002442 DC

Addresses

Primary practice location

9092 Rally Spring Loop
Wesley Chapel, FL 33545-2324

Mailing address

9092 Rally Spring Loop
Wesley Chapel, FL 33545-2324
Phone (352) 549-0932

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL, DC, CO4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20200706001250 NC Practitioner - Clinical Social Worker 8729390505 Reassigns benefits to 1 organization
I20220809001282 FL Practitioner - Clinical Social Worker 8729390505 Reassigns benefits to 3 organizations
I20240515003849 DC Practitioner - Clinical Social Worker 8729390505 Reassigns benefits to 1 organization
I20240923002393 CO Practitioner - Clinical Social Worker 8729390505 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09929128COMDClinical Social Worker
LC200002442DCMDClinical Social Worker
27671MDMDClinical Social Worker
C009578NCMDClinical Social Worker
L137676ORMDClinical Social Worker
097291006VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Brightside Health, Inc. CurrentSince Jun 1, 2024 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Apr 23, 2024 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Octave Behavioral PA Past Accepting new patients
Brightside Medical, P.C. Past Accepting new patients

Locations

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

5445 Dtc Pkwy
Ph 4
Greenwood Village, CO 80111
Phone (720) 571-4874

6501 Arlington Expy
Ste B105
Jacksonville, FL 32211
Phone (904) 302-9355

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

3511 Shannon Rd
Fl 3
Durham, NC 27707
Phone (201) 293-7689

3804 Wilson Blvd
#1318
Arlington, VA 22203

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Interoperability endpoints

  • Direct secure messaging: andreacennington@tdh.allscriptsdirect.net

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711411200000",
    "number": "1588056410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9092 RALLY SPRING LOOP",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335452324",
            "telephone_number": "352-549-0932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9092 RALLY SPRING LOOP",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335452324",
            "telephone_number": "352-549-0932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CENNINGTON",
        "first_name": "ANDREA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2024-03-26",
        "certification_date": "2024-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OR",
            "license": "L137676",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C009578",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "097291006",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "09929128",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "27671",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19787",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200002442",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.