ANDREW SITTON LCSW
NPI 1104789312
Social Worker - Clinical in Lynchburg, VA

Active since December 04, 2025PECOS EnrolledAccepts Medicare Assignment
1135 RUGBY RD, LYNCHBURG, VA 24503(954) 614-8741 Get Directions Write a Review

NPPES record last updated: December 4, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Andrew Sitton Lcsw NPPES

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

ANDREW SITTON LCSW (NPI 1104789312) is an individual clinical provider in Lynchburg, Virginia, licensed in Virginia (0904019464) and active in the NPI registry since December 2025. He is enrolled in Medicare PECOS and is a graduate of Other (2016).

NPPES Registry Identity

NPI1104789312
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameANDREW SITTONCredential: LCSW
Location Address1135 RUGBY RDLynchburg, VA 24503-2621
Mailing Address1135 Rugby RdLynchburg, VA 24503-2621
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateDecember 4, 2025
NPPES CertifiedDecember 4, 2025
✔ NPI 1104789312 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 VA · 0904019464
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.
1135 RUGBY RD, Lynchburg, VA 24503

Accepted Insurance

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

Andrew Sitton 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 ID42796492
PECOS Enrollment IDI20260115001969
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 Andrew Sitton reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

General Practice
4403 FOREST HILL AVE
Richmond, VA 23225
  • Reassigned Medicare billing, Virginia enrollment
  • 45 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24503 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 $56.19 – $170.30
Typical copayment $0.00 (range $14.04 – $42.57)
Most-billed visit code NA
Established Patient
$70.08 typical visit price
range $18.07 – $138.91
Typical copayment $17.52 (range $4.51 – $34.72)
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.

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 Andrew Sitton's NPI number?

The NPI number for Andrew Sitton is 1104789312. It was assigned to this individual provider in the NPPES registry on December 4, 2025.

Where is Andrew Sitton located?

Andrew Sitton practices at 1135 Rugby Rd, Lynchburg, VA 24503. The listed phone number is (954) 614-8741.

What is Andrew Sitton's specialty?

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

Is Andrew Sitton enrolled in Medicare?

Yes. Andrew Sitton is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Andrew Sitton's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Sitton reassigns Medicare benefits to Aevum Bh VA LLC (Richmond, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Andrew Sitton's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Sitton accept?

Health plans from Oscar Health list Andrew Sitton as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Sitton was last updated on December 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.