Active NPI
Andra McCrory Perryman, LCSW
- Clinical Social Worker
- Gilbert, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 15726
- Practice address
- 1166 E Warner Rd Ste 205204B
Gilbert, AZ 85296-3064 - Phone
- (480) 702-1605
- Fax
- (480) 452-0435
- NPI assigned
- Sep 6, 2019
- Last updated
- Sep 23, 2021
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 15726 | AZ | Primary |
Addresses
Primary practice location
1166 E Warner Rd Ste 205204B
Gilbert, AZ 85296-3064
Mailing address
4159 E Peach Tree Dr
Chandler, AZ 85249-7349
Phone (224) 628-0495
Other names 1
- Andra May McCrory
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
| License | State | Type | Specialty |
|---|---|---|---|
| 15726 | AZ | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Next Step Counseling Services, LLC | Clinical | Current | Accepting new patients |
Locations
1166 E Warner Rd
Ste 205204B
Gilbert, AZ 85296
Phone (480) 702-1605
1166 E Warner Rd
Ste 206
Gilbert, AZ 85296
Phone (480) 331-2201
1166 E Warner Rd
Ste 218
Gilbert, AZ 85296
Phone (480) 313-3080
6641 S Kings Ranch Rd
Ste 1
Gold Canyon, AZ 85118
Phone (480) 307-7198
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.
-
- Clinical Social Worker
- Gilbert, AZ
- NPI 1881235356
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1632355200000",
"number": "1871142398",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4159 E PEACH TREE DR",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852497349",
"telephone_number": "224-628-0495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1166 E WARNER RD STE 205204B",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852963064",
"telephone_number": "480-702-1605",
"fax_number": "480-452-0435"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRYMAN",
"first_name": "ANDRA",
"middle_name": "MCCRORY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-09-06",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "15726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANDRA",
"last_name": "MCCRORY",
"middle_name": "MAY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gilbert, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.