Individual provider Active NPI

Andra McCrory Perryman, LCSW

  • Clinical Social Worker
  • Gilbert, AZ
National Provider Identifier
1871142398
Registry record updated Sep 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15726 Issued in AZ
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, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2021

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 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 Former name

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
15726AZMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
The Next Step Counseling Services, LLC Clinical CurrentSince Sep 28, 2021 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.

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.

Verify at the official NPI Registry.