Andrea Duncanson, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW008140 Issued in GA

Practice address

540 Michael Cir
Monroe, GA 30655-8471

Phone

(770) 696-0271

NPI assigned

Dec 9, 2022

Last updated

Dec 9, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, GA

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670544000000",
    "number": "1871204909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 MICHAEL CIR",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306558471",
            "telephone_number": "770-696-0271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 MICHAEL CIR",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306558471",
            "telephone_number": "770-696-0271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNCANSON",
        "first_name": "ANDREA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-09",
        "last_updated": "2022-12-09",
        "certification_date": "2022-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW008140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Drayer Physical Therapy Institute of Ky PLLC (Drayer Physical Therapy Institute)
• James E Du Bose, D.M.D.
• Joshua Alvin Dubose, D.M.D
• Francette Dubuche Bernard, FAMILY NURSE PRACTIT
• Carla Peters Duncan, PT
• Lisa Duong, DMD
• Natavia Durham
• Nicole Dycus, CPNP-PC
• Jodi Butler Eason, M.ED., CCC-SLP
• Margaret Ellington, CPNP, MSN

• Clinical Social Worker in Monroe, GA
• Providers in Monroe, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.