Individual provider Active NPI

Andrea Nutt, LCSW

  • Clinical Social Worker
  • Milton, FL
National Provider Identifier
1619335809
Registry record updated Mar 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW13254 Issued in FL
Practice address
5520 Stewart St
Milton, FL 32570-4304
Phone
(850) 981-9433
Fax
(850) 981-9436
NPI assigned
Feb 3, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 952 SC
Clinical Social Worker 1041C0700X 0904018072 VA
Clinical Social Worker 1041C0700X LICSW1140543 MA
Clinical Social Worker 1041C0700X SW13254 FL Primary

Addresses

Primary practice location

5520 Stewart St
Milton, FL 32570-4304

Mailing address

5520 Stewart St
Milton, FL 32570-4304
Phone (850) 981-9433

Other practice location 1

1 Emerson Pl Ste 3H
Boston, MA 02114-2252
Phone (855) 604-9376

Other practice location 2

4591 Baybrook Dr
Pensacola, FL 32514-7823
Phone (850) 449-6582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, MA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20161024000748 FL Practitioner - Clinical Social Worker 2567740707 Reassigns benefits to 1 organization
I20251027003388 MA Practitioner - Clinical Social Worker 2567740707 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

803 Sunken Rd
Fredericksburg, VA 22401-5401

PO Box
Atlanta, GA 30374

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
952SCMDCounseling Psychologist
LICSW1140543MAMDClinical Social Worker
0904018072VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Verity, LLC CurrentSince Sep 1, 2024 Accepting new patients
Thrive Counseling LLC CurrentSince May 3, 2026 Accepting new patients
Thriveworks Clinical - Florida Inc CurrentSince Dec 13, 2023 Accepting new patients

Locations

10100 W Sample Rd
Ste 205
Coral Springs, FL 33065
Phone (561) 771-5838

2425 E Commercial Blvd
Ste 405
Fort Lauderdale, FL 33308
Phone (754) 400-5514

4115 W Spruce St
Ste 205
Tampa, FL 33607
Phone (813) 413-4663

1000 Jefferson St
Ste 2C
Lynchburg, VA 24504
Phone (434) 528-3263

Organizations & group practices 3

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": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742601600000",
    "number": "1619335809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 STEWART ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704304",
            "telephone_number": "850-981-9433",
            "fax_number": "850-981-9436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 STEWART ST",
            "city": "MILTON",
            "state": "FL",
            "postal_code": "325704304",
            "telephone_number": "850-981-9433",
            "fax_number": "850-981-9436"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Emerson Pl Ste 3H",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142252",
            "country_code": "US",
            "telephone_number": "855-604-9376",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4591 Baybrook Dr",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325147823",
            "country_code": "US",
            "telephone_number": "850-449-6582",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUTT",
        "first_name": "ANDREA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "952",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904018072",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW1140543",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW13254",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, FL

Sources for this page

Verify at the official NPI Registry.