Individual provider Active NPI

Andrea Lynn Manus, LCSW

  • Clinical Social Worker
  • Evans, GA
National Provider Identifier
1891478640
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5424 Issued in TN
Practice address
1358 Shadow Oak Dr
Evans, GA 30809-8204
Phone
(206) 618-8582
NPI assigned
Aug 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 17562 SC
Clinical Social Worker 1041C0700X 22707 OK
Clinical Social Worker 1041C0700X 5424 TN Primary
Clinical Social Worker 1041C0700X 1140125 MA
Clinical Social Worker 1041C0700X 23759 AZ

Addresses

Primary practice location

1358 Shadow Oak Dr
Evans, GA 30809-8204

Mailing address

1358 Shadow Oak Dr
Evans, GA 30809-8204
Phone (206) 618-8582

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, SC, MA, AZ4 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
I20240209002696 TN Practitioner - Clinical Social Worker 8426491044 Reassigns benefits to 1 organization
I20250217002203 SC Practitioner - Clinical Social Worker 8426491044 Reassigns benefits to 1 organization
I20250320003264 MA Practitioner - Clinical Social Worker 8426491044 Reassigns benefits to 1 organization
I20260602000522 AZ Practitioner - Clinical Social Worker 8426491044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

66 E Flagler St
Miami, FL 33130-1807

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5424TNMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Grow Healthcare Group PA Clinical CurrentSince Jan 16, 2024 Accepting new patients

Locations

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

100 Cambridge St
Fl 14
Boston, MA 02114
Phone (617) 917-2389

170 Meeting St
Ste 110
Charleston, SC 29401
Phone (704) 610-1304

40 Burton Hills Blvd
Ste 200
Nashville, TN 37215
Phone (615) 257-8410

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1691539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1891478640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1358 SHADOW OAK DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308098204",
            "telephone_number": "206-618-8582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1358 SHADOW OAK DR",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308098204",
            "telephone_number": "206-618-8582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUS",
        "first_name": "ANDREA",
        "middle_name": "LYNN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-09",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "SC",
            "license": "17562",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "22707",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5424",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1140125",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AZ",
            "license": "23759",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Evans, GA

Sources for this page

Verify at the official NPI Registry.