ANDREA LEE WORTHY LCSW
NPI 1093841371
Social Worker - School in Indianapolis, IN
NPI Status: Active since February 23, 2007
Contact Information
1500 N RITTER AVE
INDIANAPOLIS, IN
ZIP 46219
Phone: (317) 355-2560
Fax: (317) 351-2418
- Individual
- Female
- Social Worker
- School
- Accepts Insurance
- Opted-Out Medicare
About ANDREA WORTHY
This page provides the complete NPI Profile along with additional information for Andrea Worthy, a provider established in Indianapolis, Indiana with a medical specialization in Social Worker, focusing in school . The healthcare provider is registered in the NPI registry with number 1093841371 assigned on February 2007. The practitioner's primary taxonomy code is 1041S0200X with license number 34004262A (IN). The provider is registered as an individual and her NPI record was last updated 9 years ago.
- NPI
- 1093841371
- Provider Name
- ANDREA LEE WORTHY LCSW
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 1500 N RITTER AVE INDIANAPOLIS, IN 46219
- Location Phone
- (317) 355-2560
- Location Fax
- (317) 351-2418
- Mailing Address
- 6626 E 75TH STREET STE 500 INDIANAPOLIS, IN 46250
- Mailing Phone
- (317) 621-7561
- Mailing Fax
- (317) 351-2418
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-23-2007
- Last Update Date
- 06-22-2017
- Code Navigator
A school social worker like Andrea Worthy works with teachers, parents, and school administrators to develop plans and strategies to improve students' academic performance and social development. Students are referred to school social workers to deal with problems like aggressive behavior, bullying, or frequent school absences.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Andrea Worthy opted out of Medicare effective on 05-13-2024 until 05-13-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Social Worker School
- Taxonomy Code
- 1041S0200X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 34004262A
- License State
- IN
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze 7500 $25 Generic Drugs - HMO
- Bronze 7500 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Diabetes Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Gold 2000 $15 Generic Drugs - HMO
- Gold 2000 $15 Generic Drugs + Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Chronic Care Drugs - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Gold 3000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services - HMO
- Healthy Heart Silver 5000 $0 Chronic Care Drugs & Services + Adult Vision & Fitness - HMO
- HSA Eligible Bronze 6000 - HMO
- Low Premium Bronze 10600 $25 Generic Drugs - HMO
- Low Premium Bronze 10600 $25 Generic Drugs + Adult Vision & Fitness - HMO
- Low Premium Silver 6200 $3 Generic Drugs - HMO
- Low Premium Silver 6200 $3 Generic Drugs + Adult Vision & Fitness - HMO
- Platinum Zero $5 Generic Drugs - HMO
- Platinum Zero $5 Generic Drugs + Adult Vision & Fitness - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 100270530 | MEDICAID (05) | IN | |
| 150074 | MEDICARE PIN (08) | IN |
Medicare Participation & PECOS Enrollment Status
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 05-13-2024
Opt-Out End Date: 05-13-2026
Eligible to Order and Refer? No
Reviews for ANDREA LEE WORTHY LCSW
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1093841371, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 59. The final step is to find the difference between that total and the next multiple of ten (60 - 59 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 59 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
INDIANAPOLIS, IN 46219
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1093841371, enumerated as an "individual" on February 23, 2007.
The provider is located at 1500 N RITTER AVE INDIANAPOLIS, IN 46219 and the phone number is (317) 355-2560.
Social Worker with taxonomy code 1041S0200X and a focus in School.
The provider might be accepting Accepts: CareSource, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
