Individual provider Active NPI

Andrea E. Willoughby, LCSW, LCAS

  • Clinical Social Worker
  • Greensboro, NC
National Provider Identifier
1598068934
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSWC010064 Issued in NC
Practice address
4112 Spring Garden St Ste a
Greensboro, NC 27407-1652
Phone
(336) 294-0910
Fax
(336) 218-0294
NPI assigned
Dec 7, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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 LCSWC010064 NC Primary

Addresses

Primary practice location

4112 Spring Garden St Ste a
Greensboro, NC 27407-1652

Mailing address

4112 Spring Garden St Ste a
Greensboro, NC 27407-1652
Phone (336) 294-0910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LCSWC010064NCMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Integrative Therapies, Inc. CurrentSince Nov 30, 2025 Accepting new patients

Locations

4112 Spring Garden St
Ste A
Greensboro, NC 27407
Phone (336) 294-0910

Organizations & group practices 1

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": "1291680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764028800000",
    "number": "1598068934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 SPRING GARDEN ST STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071652",
            "telephone_number": "336-294-0910",
            "fax_number": "336-218-0294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4112 SPRING GARDEN ST STE A",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071652",
            "telephone_number": "336-294-0910",
            "fax_number": "336-218-0294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLOUGHBY",
        "first_name": "ANDREA",
        "middle_name": "E.",
        "credential": "LCSW, LCAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-07",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "LCSWC010064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; 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.