Active NPI
Andrea Rose Lettrick, LGSW
- Social Worker
- Fairmont, WV
National Provider Identifier
1689533283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- BP00946733
- Practice address
- 207 Fairmont Ave
Fairmont, WV 26554-2710 - Phone
- (681) 404-6869
- NPI assigned
- Jan 19, 2026
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | BP00946733 | WV | Primary |
Addresses
Primary practice location
207 Fairmont Ave
Fairmont, WV 26554-2710
Mailing address
289 Woodbury Dr
Fairmont, WV 26554-2248
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
| License | State | Type | Specialty |
|---|---|---|---|
| BP00946733 | WV | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Appalachian Counseling Center LLC | Social Worker | Past | Accepting new patients |
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": "1768780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768780800000",
"number": "1689533283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "289 WOODBURY DR",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265542248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 FAIRMONT AVE",
"city": "FAIRMONT",
"state": "WV",
"postal_code": "265542710",
"telephone_number": "681-404-6869"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LETTRICK",
"first_name": "ANDREA",
"middle_name": "ROSE",
"credential": "LGSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-19",
"last_updated": "2026-01-19",
"certification_date": "2026-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "WV",
"license": "BP00946733",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairmont, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.