Individual provider Active NPI

Andrew Joseph McGahan, LCSW LICSW

  • Social Worker
  • Savannah, GA
National Provider Identifier
1689686990
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0904005414 Issued in VA
Practice address
24 Commerce PL Ste D
Savannah, GA 31406-3696
Phone
(912) 231-3576
NPI assigned
Aug 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LC3000848 DC
Social Worker 104100000X 0904005414 VA Primary

Addresses

Primary practice location

24 Commerce PL Ste D
Savannah, GA 31406-3696

Mailing address

24 Commerce PL Ste D
Savannah, GA 31406-3696
Phone (912) 231-3576

Other practice location 1

3018 Javier Rd
Fairfax, VA 22031
Phone (703) 204-9100

Other identifiers 8

IdentifierTypeStateIssuer
350580OtherVAMHN
A2840139OtherDCBCBS
245890OtherVAKAISER
7935657OtherVABCBS
7935657OtherVAAETNA
264965000OtherVAMAGELLAN
530196598OtherVATRICARE
64321301OtherMDBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160420000128 GA Practitioner - Clinical Social Worker 2163488032 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

24 Commerce PL
Savannah, GA 31406-3696
Phone (912) 231-3576

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC3000848DCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Insightful Therapy Solutions LLC CurrentSince May 1, 2016 Accepting new patients

Locations

24 Commerce Pl
Ste C
Savannah, GA 31406
Phone (912) 231-3576

24 Commerce Pl
Ste D
Savannah, GA 31406
Phone (912) 231-3576

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": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1689686990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 COMMERCE PL STE D",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063696",
            "telephone_number": "912-231-3576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 COMMERCE PL STE D",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314063696",
            "telephone_number": "912-231-3576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3018 Javier Rd",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "22031",
            "country_code": "US",
            "telephone_number": "703-204-9100",
            "fax_number": "703-204-9590",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCGAHAN",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "LCSW LICSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LC3000848",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0904005414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "350580",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "A2840139",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER",
            "identifier": "245890",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "7935657",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7935657",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN",
            "identifier": "264965000",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "530196598",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "64321301",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.