Individual provider Active NPI

Andrea Woods, GSW

  • Social Worker
  • Monroe, LA
National Provider Identifier
1962541730
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
5893 Issued in LA
Practice address
4800 S Grand St
Monroe, LA 71202-6412
Phone
(318) 362-3339
Fax
(318) 362-3336
NPI assigned
Feb 6, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 5893 LA Primary

Addresses

Primary practice location

4800 S Grand St
Monroe, LA 71202-6412

Mailing address

4800 S Grand St
Monroe, LA 71202-6412
Phone (318) 362-3339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20171113002544 LA Practitioner - Clinical Social Worker 9234495995 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MDB Behavioral Health Services LLCGroup PAC ID 0749572915, 201 clinicians
Tiffany Roy FNP LLCGroup PAC ID 9739256512, 9 clinicians

Practice addresses (Care Compare)

1911 Mission
66 Suite B
Vicksburg, MS 39180-3762
Phone (601) 456-2598

PO Box
Suite 370
Duson, LA 70529

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Delta Human Services Authority Current Accepting new patients
Northeast Delta Human Services Authority CurrentSince Aug 29, 2017 Accepting new patients
Northeast Delta Human Services Authority CurrentSince Aug 29, 2017 Accepting new patients

Locations

451 E Madison Ave
Bastrop, LA 71220
Phone (318) 283-0868

2513 Ferrand St
Monroe, LA 71201
Phone (318) 362-3270

4800 S Grand St
Monroe, LA 71202
Phone (318) 362-3339

1012 Johnson St
Tallulah, LA 71282
Phone (318) 574-1713

1301 Landis St
#B
Winnsboro, LA 71295
Phone (318) 435-2146

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, 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": "1170720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962541730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4800 S GRAND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712026412",
            "telephone_number": "318-362-3339",
            "fax_number": "318-362-3336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 S GRAND ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712026412",
            "telephone_number": "318-362-3339",
            "fax_number": "318-362-3336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODS",
        "first_name": "ANDREA",
        "name_prefix": "Ms.",
        "credential": "GSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "5893",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.