Individual provider Active NPI

Tasha Andrea Pritchett, LCSW

  • Clinical Social Worker
  • Evans, GA
National Provider Identifier
1679741045
Registry record updated Dec 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SC 60115610 Issued in WA
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

Updated by the provider on Dec 9, 2025

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 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

IdentifierTypeStateIssuer
1861878136OtherGANPI

Other names 1

  • Tasha Andrea Ford Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC, MS, IL, WA5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20160125000736 GA Practitioner - Clinical Social Worker 1355644469 Reassigns benefits to 1 organization
I20160516002142 SC Practitioner - Clinical Social Worker 1355644469 Reassigns benefits to 1 organization
I20260409002217 MS Practitioner - Clinical Social Worker 1355644469 Reassigns benefits to 1 organization
I20260410002201 IL Practitioner - Clinical Social Worker 1355644469 Reassigns benefits to 1 organization
I20260416002619 WA Practitioner - Clinical Social Worker 1355644469 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
RC00049019WAMDMental Health Counselor
CSW005614GAMDClinical Social Worker
149030576ILMDClinical Social Worker
C9626MSMDClinical Social Worker
SC 60115610WAMDClinical Social Worker
11376SCMDPharmacist
NC10033326WAMDNurse'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

Verify at the official NPI Registry.