ANDREA ELLISON LCSW
NPI 1093402380
Social Worker - Clinical in Athens, TX

Q: What is Andrea Ellison's NPI number?

The NPI number for Andrea Ellison is 1093402380. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Q: What is Andrea Ellison'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 Ellison was last updated on April 18, 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 April 18, 2023PECOS EnrolledAccepts Medicare Assignment

700 S PALESTINE ST, ATHENS, TX 75751(903) 675-9570(903) 675-9577 Get Directions Write a Review

NPPES record last updated: April 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Andrea Ellison Lcsw NPPES

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

ANDREA ELLISON LCSW (NPI 1093402380) is an individual clinical provider in Athens, Texas, licensed in Texas (38920) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1093402380

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameANDREA ELLISONCredential: LCSW

Location Address700 S PALESTINE STAthens, TX 75751-3342

Mailing AddressPo Box 2536Athens, TX 75751-7536 · (903) 675-9570 · Fax (903) 675-9577

Phone(903) 675-9570

Fax(903) 675-9577

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateApril 18, 2023

NPPES CertifiedApril 18, 2023

✔ NPI 1093402380 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 TX · 38920

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.

700 S PALESTINE ST, Athens, TX 75751

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrea Ellison Lcsw 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 ID1850742115

PECOS Enrollment IDI20240111000197

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.

Medicare Billing Reassignment

Medicare enrollment records show Andrea Ellison reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Texas Psychological Services, PLLC

Same address

Clinical

700 S PALESTINE ST
Athens, TX 75751

Reassigned Medicare billing, Texas enrollment
9 clinicians in this Medicare group

NPI 1093029951 (903) 675-9570

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

699 services47 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75751 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 $54.84 – $166.88

Typical copayment $0.00 (range $13.71 – $41.72)

Most-billed visit code NA

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

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 14

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

LOLA LEWIS SIRLES

Social Worker (Clinical)