Andria Lauren Achong, LCSW
Individual provider Active NPI Clinical Social Worker · Tallahassee, FL
NPI 1972128098 · NPPES record last updated Dec 16, 2020
Key facts
- NPI
- 1972128098
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- SW17217 (FL)
- Practice address
- 1113 S Magnolia Dr
Tallahassee, FL 32301-4659 - Phone
- (850) 778-1642
- NPI assigned
- Jun 15, 2020
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SW17217 | FL | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Enso Psych Group, LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW17217 | FL | Yes |
Addresses
Primary practice location
1113 S Magnolia Dr
Tallahassee, FL 32301-4659
Mailing address
1113 S Magnolia Dr
Tallahassee, FL 32301-4659
Phone (850) 778-1642
Other providers in Tallahassee, FL
- Abundantly Thriving Residential Care LLC
- Access Medical Health Plan Corp LLC
- Accessibility Solutions, Inc.
- Accessible Transport Inc.
- Camila Aceituno
- Brock Ackerman
- Ayanna Janai Acoff
- Alina Isabella Acosta
- Dayanis Mercedes Acosta
- Darlene Acre
All providers in Tallahassee, FL · Clinical Social Worker in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.