Individual provider Active NPI

Andrea Janine Thomas, LCSW

  • Clinical Social Worker
  • Saint Petersburg, FL
National Provider Identifier
1770288540
Registry record updated Jul 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW21665 Issued in FL
Practice address
1231 30TH St S
Saint Petersburg, FL 33712-1920
Phone
(727) 455-6440
NPI assigned
Apr 3, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2023

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 SW21665 FL Primary

Addresses

Primary practice location

1231 30TH St S
Saint Petersburg, FL 33712-1920

Mailing address

1231 30TH St S
Saint Petersburg, FL 33712-1920
Phone (727) 455-6440

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, DC, PA, VA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20230719000067 FL Practitioner - Clinical Social Worker 9133589450 Reassigns benefits to 4 organizations
I20250925000726 DC Practitioner - Clinical Social Worker 9133589450 Reassigns benefits to 1 organization
I20250925001744 PA Practitioner - Clinical Social Worker 9133589450 Reassigns benefits to 2 organizations
I20260212002052 VA Practitioner - Clinical Social Worker 9133589450 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
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

333 SE 2ND Ave
Suite 2000
Miami, FL 33131-2185
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW21665FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC CurrentSince Feb 11, 2024 Accepting new patients
Mental Health Specialty Group PA CurrentSince Jul 1, 2025 Accepting new patients
Sondermind, P.a. Clinical CurrentSince Jan 1, 2026 Accepting new patients
Sondermind Provider Network LLC Clinical CurrentSince Jan 1, 2026 Accepting new patients
Grow Healthcare Group PA Clinical CurrentSince Jun 19, 2023 Accepting new patients

Locations

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

2328 10th Ave N
Ste 201
Lake Worth, FL 33461
Phone (561) 236-7622

21507 Village Lakes Shopping Ctr Dr
Land O Lakes, FL 34639
Phone (813) 949-4224

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

4960 SW 72nd Ave
Ste 406
Miami, FL 33155

3854 Britton Plz
Tampa, FL 33611
Phone (813) 837-2814

1650 Market St
Philadelphia, PA 19103
Phone (215) 514-0760

1626 Locust St
Philadelphia, PA 19103
Phone (215) 709-3177

999 Waterside Dr
Ste 2525
Norfolk, VA 23510
Phone (757) 777-3787

8300 Boone Blvd
Ste 500
Vienna, VA 22182
Phone (703) 884-2598

Organizations & group practices 5

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": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688860800000",
    "number": "1770288540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1231 30TH ST S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337121920",
            "telephone_number": "727-455-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1231 30TH ST S",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337121920",
            "telephone_number": "727-455-6440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "ANDREA",
        "middle_name": "JANINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-07-09",
        "certification_date": "2023-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW21665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Petersburg, FL

Sources for this page

Verify at the official NPI Registry.