Individual provider Active NPI

Andrea Nicole Wullschleger, ACSW

  • Social Worker
  • Visalia, CA
National Provider Identifier
1760250005
Registry record updated Aug 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ASW123773 Issued in CA
Practice address
6200 S Mooney Blvd
Visalia, CA 93277-9396
Phone
(559) 747-3984
NPI assigned
Dec 15, 2023
Last updated
Aug 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ASW123773 CA Primary

Addresses

Primary practice location

6200 S Mooney Blvd
Visalia, CA 93277-9396

Mailing address

1830 S Central St. Visalia
Visalia, CA 93277-4418
Phone (559) 730-2969

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

LicenseStateTypeSpecialty
ASW123773CAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Tulare County Office of Education CurrentSince Sep 1, 2024 Accepting new patients

Locations

1830 S Central St
Visalia, CA 93277
Phone (559) 730-2969

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, 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": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724630400000",
    "number": "1760250005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 S CENTRAL ST. VISALIA",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932774418",
            "telephone_number": "559-730-2969",
            "fax_number": "559-730-2991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 S MOONEY BLVD",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932779396",
            "telephone_number": "559-747-3984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WULLSCHLEGER",
        "first_name": "ANDREA",
        "middle_name": "NICOLE",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-12-15",
        "last_updated": "2024-08-26",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW123773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.