ANDRA BLACKHEART LCSW
NPI 1043921612
Social Worker - Clinical in Tampa, FL

Q: What is Andra Blackheart's NPI number?

The NPI number for Andra Blackheart is 1043921612. It was assigned to this individual provider in the NPPES registry on December 5, 2022. The provider is also known as Andra Anesha Glover.

Q: What is Andra Blackheart'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 Andra Blackheart was last updated on August 8, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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 December 05, 2022PECOS Enrolled

5707 N 22ND ST, TAMPA, FL 33610(813) 239-8147 Get Directions Write a Review

NPPES record last updated: August 8, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 8, 2023, Dec 6, 2022 (2 updates tracked since 2022).

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About Andra Blackheart Lcsw NPPES

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

ANDRA BLACKHEART LCSW (NPI 1043921612) is an individual clinical provider in Tampa, Florida, licensed in Florida (SW21899) and active in the NPI registry since December 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043921612

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameANDRA BLACKHEARTCredential: LCSW

Location Address5707 N 22ND STTampa, FL 33610-4350

Mailing Address5707 N 22nd StTampa, FL 33610-4350

Phone(813) 239-8147

Sole ProprietorNo

Enumeration DateDecember 5, 2022

Last NPPES UpdateAugust 8, 20232 updates tracked since enumeration

NPPES CertifiedAugust 8, 2023

✔ NPI 1043921612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in FL · SW21899

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.

5707 N 22ND ST, Tampa, FL 33610

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Other Names 1

Former Name (1)Andra Anesha Glover

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andra Blackheart Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 33610 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 $56.00 – $171.84

Typical copayment $0.00 (range $14.00 – $42.96)

Most-billed visit code NA

Established Patient

$70.04 typical visit price

range $17.57 – $139.16

Typical copayment $17.51 (range $4.39 – $34.79)

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.

DARLENE H ALLEN

Social Worker (Clinical)