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

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: July 26, 2026.

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

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 and maintains a secondary practice location in Tampa.

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
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

Other Names 1

Former Name (1)Andra Anesha Glover

Secondary Practice Location 1

Location 112101 N Dale Mabry Hwy Apt 714Tampa, FL 33618-3303 · Phone (813) 318-1083

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.

Social Worker (Clinical)
5707 N 22ND ST
TAMPA, FL 33610
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Social Worker
5707 N 22ND ST
TAMPA, FL 33610
Community Health Worker
5707 N 22ND ST
TAMPA, FL 33610
Social Worker
5707 N 22ND ST
TAMPA, FL 33610

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Andra Blackheart located?

Andra Blackheart practices at 5707 N 22nd St, Tampa, FL 33610. The listed phone number is (813) 239-8147.

What is Andra Blackheart's specialty?

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

Is Andra Blackheart enrolled in Medicare?

Yes. Andra Blackheart is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andra Blackheart was last updated on August 8, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.