MS. ANDREA LYNN MIZE L.C.S.W.
NPI 1043598659
Social Worker - Clinical in Portland, OR

Q: What is Andrea Mize's NPI number?

The NPI number for Andrea Mize is 1043598659. It was assigned to this individual provider in the NPPES registry on July 31, 2011.

Q: What is Andrea Mize's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Mize was last updated on January 3, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 31, 2011PECOS EnrolledAccepts Medicare Assignment

847 NE 19TH AVE STE 100, PORTLAND, OR 97232(503) 238-0759 Get Directions Write a Review

NPPES record last updated: January 3, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 3, 2019, Jul 30, 2018, Mar 17, 2018 and 4 more (7 updates tracked since 2017).

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About Ms. Andrea Lynn Mize L.c.s.w. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. ANDREA LYNN MIZE L.C.S.W. (NPI 1043598659) is an individual clinical provider in Portland, Oregon, licensed in Oregon (L7328) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1043598659

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameMS. ANDREA LYNN MIZECredential: L.C.S.W.

Location Address847 NE 19TH AVE STE 100Portland, OR 97232

Mailing Address847 Ne 19th Ave Ste 100Portland, OR 97232-2684 · (503) 957-5947

Phone(503) 238-0759

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateJuly 31, 2011

Last NPPES UpdateJanuary 3, 20197 updates tracked since enumeration

✔ NPI 1043598659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in OR · L7328✔ Licensed in CA · 74768

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License L7328 (OR)

847 NE 19TH AVE STE 100, Portland, OR 97232

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include PacificSource Health Plans.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Andrea Lynn Mize L.c.s.w. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3173895943

PECOS Enrollment IDI20170815002031

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97232 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $58.99 – $176.88

Typical copayment $0.00 (range $14.74 – $44.22)

Most-billed visit code NA

Established Patient

$73.28 typical visit price

range $19.32 – $144.79

Typical copayment $18.32 (range $4.83 – $36.19)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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