Individual provider Active NPI

Andrea Elaine Alleyne, LCSW

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1992139547
Registry record updated Aug 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW11553 Issued in FL
Practice address
630 N Semoran Blvd
Orlando, FL 32807-3330
Phone
(407) 737-4007
NPI assigned
Aug 29, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2013

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 SW11553 FL Primary

Addresses

Primary practice location

630 N Semoran Blvd
Orlando, FL 32807-3330

Mailing address

630 N Semoran Blvd
Orlando, FL 32807-3330
Phone (407) 737-4007

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NC, AR3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160113002506 FL Practitioner - Clinical Social Worker 5193027753 Reassigns benefits to 1 organization
I20231005003251 NC Practitioner - Clinical Social Worker 5193027753 Reassigns benefits to 1 organization
I20250528002116 AR Practitioner - Clinical Social Worker 5193027753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sondermind Provider Network LLCGroup PAC ID 9537572490, 1,295 clinicians

Practice addresses (Care Compare)

1202 NE McClain Rd
Bentonville, AR 72712-3875
Phone (866) 630-0966

333 SE 2ND Ave
Suite 2000
Miami, FL 33131-2185
Phone (866) 630-0966

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW11553FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Sondermind Provider Network LLC Clinical CurrentSince Apr 1, 2025 Accepting new patients
Teladoc Health Medical Group, P.a. Clinical Current Accepting new patients
Sondermind PC Clinical CurrentSince Apr 1, 2025 Accepting new patients
Compass Counseling Services,LLC Past Accepting new patients

Locations

1202 NE McClain Rd
Bentonville, AR 72712
Phone (479) 278-4323

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

2530 Meridian Pkwy
Fl 3
Durham, NC 27713
Phone (919) 389-7316

Interoperability endpoints

  • Direct secure messaging: andreaalleyne@tdh.allscriptsdirect.net

Organizations & group practices 4

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": "1377734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377734400000",
    "number": "1992139547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "630 N SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073330",
            "telephone_number": "407-737-4007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 N SEMORAN BLVD",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328073330",
            "telephone_number": "407-737-4007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLEYNE",
        "first_name": "ANDREA",
        "middle_name": "ELAINE",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-29",
        "last_updated": "2013-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW11553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.