Active NPI
Tasha Andrea Pritchett, LCSW
- Clinical Social Worker
- Evans, GA
National Provider Identifier
1679741045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SC 60115610
- Practice address
- 1222 Berkley Hills Pass
Evans, GA 30809-7474 - Phone
- (706) 312-6761
- Fax
- (762) 994-1947
- NPI assigned
- Feb 19, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW005614 | GA | |
| Clinical Social Worker | 1041C0700X | SC 60115610 | WA | Primary |
| Nurse's Aide | 376K00000X | NC10033326 | WA | |
| Clinical Social Worker | 1041C0700X | C9626 | MS | |
| Clinical Social Worker | 1041C0700X | 149030576 | IL | |
| Mental Health Counselor | 101YM0800X | RC00049019 | WA | |
| Clinical Social Worker | 1041C0700X | 11376 | SC |
Addresses
Primary practice location
1222 Berkley Hills Pass
Evans, GA 30809-7474
Mailing address
1222 Berkley Hills Pass
Evans, GA 30809-7474
Phone (706) 312-6761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861878136 | Other | GA | NPI |
Other names 1
- Tasha Andrea Ford
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC, MS, IL, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 5
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)
66 E Flagler St
Miami, FL 33130-1807
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RC00049019 | WA | MD | Mental Health Counselor |
| CSW005614 | GA | MD | Clinical Social Worker |
| 149030576 | IL | MD | Clinical Social Worker |
| C9626 | MS | MD | Clinical Social Worker |
| SC 60115610 | WA | MD | Clinical Social Worker |
| 11376 | SC | MD | Pharmacist |
| NC10033326 | WA | MD | Nurse's Aide |
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": "1203379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765238400000",
"number": "1679741045",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1222 BERKLEY HILLS PASS",
"city": "EVANS",
"state": "GA",
"postal_code": "308097474",
"telephone_number": "706-312-6761",
"fax_number": "762-994-1947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1222 BERKLEY HILLS PASS",
"city": "EVANS",
"state": "GA",
"postal_code": "308097474",
"telephone_number": "706-312-6761",
"fax_number": "762-994-1947"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRITCHETT",
"first_name": "TASHA",
"middle_name": "ANDREA",
"name_prefix": "Dr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-19",
"last_updated": "2025-12-09",
"certification_date": "2025-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW005614",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "WA",
"license": "SC 60115610",
"primary": true
},
{
"code": "376K00000X",
"taxonomy_group": "",
"desc": "Nurse's Aide",
"state": "WA",
"license": "NC10033326",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MS",
"license": "C9626",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IL",
"license": "149030576",
"primary": false
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "WA",
"license": "RC00049019",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SC",
"license": "11376",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1861878136",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TASHA",
"last_name": "FORD",
"middle_name": "ANDREA",
"credential": "LCSW",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.