Individual provider Active NPI

Laurie Michelle Andrews, LCSW 121038

  • Clinical Social Worker
  • Oceanside, CA
National Provider Identifier
1700401916
Registry record updated Apr 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW121038 Issued in CA
Practice address
717 Pier View Way
Oceanside, CA 92054-2801
Phone
(760) 994-8846
NPI assigned
Jun 12, 2020
Last updated
Apr 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 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 LCSW121038 CA Primary

Addresses

Primary practice location

717 Pier View Way
Oceanside, CA 92054-2801

Mailing address

PO Box 5451
Oceanside, CA 92052-5451
Phone (760) 994-8839

Other practice location 1

3605 Vista Way Ste 258
Oceanside, CA 92056-4565
Phone (760) 758-1480

Other practice location 2

2003 S El Camino Real Ste 118
Oceanside, CA 92054-6214
Phone (442) 222-8552

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250831000419 CA Practitioner - Clinical Social Worker 2769983782 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Brightside Medical PCGroup PAC ID 6608262464, 274 clinicians

Practice addresses (Care Compare)

2029 Century Park E
Suite 400 Office 478
Los Angeles, CA 90067-2957
Phone (415) 360-3348

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW121038CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mindful Behavioral Outpatient Discovering Your Self CurrentSince Apr 9, 2024 Accepting new patients
Brightside Medical, P.C. CurrentSince Aug 1, 2025 Accepting new patients

Locations

2029 Century Park E
Ste 400
Los Angeles, CA 90067
Phone (213) 463-6426

717 Pier View Way
Oceanside, CA 92054
Phone (760) 687-1775

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

Organizations & group practices 2

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": "1591920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712361600000",
    "number": "1700401916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5451",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920525451",
            "telephone_number": "760-994-8839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 PIER VIEW WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920542801",
            "telephone_number": "760-994-8846"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3605 Vista Way Ste 258",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920564565",
            "country_code": "US",
            "telephone_number": "760-758-1480",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2003 S El Camino Real Ste 118",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920546214",
            "country_code": "US",
            "telephone_number": "442-222-8552",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ANDREWS",
        "first_name": "LAURIE",
        "middle_name": "MICHELLE",
        "name_prefix": "Ms.",
        "credential": "LCSW 121038",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-06-12",
        "last_updated": "2024-04-06",
        "certification_date": "2024-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW121038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

Verify at the official NPI Registry.