Individual provider Active NPI

Andrea Sharae Hanley

  • Clinical Social Worker
  • Atlanta, GA
National Provider Identifier
1700225661
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW008377 Issued in GA
Practice address
3217 Flowers Rd S Apt a
Atlanta, GA 30341-5676
Phone
(404) 863-2327
NPI assigned
Jun 24, 2013
Last updated
Jul 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW008377 GA Primary

Addresses

Primary practice location

3217 Flowers Rd S Apt a
Atlanta, GA 30341-5676

Mailing address

3217 Flowers Rd S Apt a
Atlanta, GA 30341-5676

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
I20230817001503 GA Practitioner - Clinical Social Worker 2163884487 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Personal Recovery Network LLCGroup PAC ID 5092611384, 612 clinicians

Practice addresses (Care Compare)

1899 Powers Ferry Rd SE
Suite 250
Atlanta, GA 30339-8411
Phone (678) 831-0608

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Education Resource Group, Inc. CurrentSince Jun 30, 2023 Accepting new patients
Meridian Education Resource Group, Inc. CurrentSince Jun 30, 2023 Accepting new patients
Personal Recovery Network LLC CurrentSince Aug 14, 2024 Accepting new patients

Locations

1353 George W Brumley Way SE
Atlanta, GA 30317

1401 Hosea Williams Dr SE
Atlanta, GA 30317
Phone (404) 373-2926

1899 Powers Ferry Rd SE
Ste 250
Atlanta, GA 30339
Phone (678) 831-0608

250 Corporate Center Ct
Stockbridge, GA 30281
Phone (770) 954-8685

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1700225661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3217 FLOWERS RD S APT A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3217 FLOWERS RD S APT A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303415676",
            "telephone_number": "404-863-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANLEY",
        "first_name": "ANDREA",
        "middle_name": "SHARAE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-24",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.