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MS. SANDY MARIE HUGHES LICSW
NPI 1164990883
Social Worker - Clinical in Gadsden, AL

Active since November 12, 2018PECOS EnrolledAccepts Medicare Assignment
3001 SCENIC HWY, GADSDEN, AL 35904(256) 546-9265(256) 549-0376 Get Directions Write a Review

NPPES record last updated: November 12, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Ms. Sandy Marie Hughes Licsw NPPES

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

MS. SANDY MARIE HUGHES LICSW (NPI 1164990883) is an individual clinical provider in Gadsden, Alabama, licensed in Alabama (4231C) and active in the NPI registry since November 2018. She is enrolled in Medicare PECOS and is a graduate of University Of Alabama School Of Medicine (2013).

NPPES Registry Identity

NPI1164990883
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. SANDY MARIE HUGHESCredential: LICSW
Location Address3001 SCENIC HWYGadsden, AL 35904-3047
Mailing AddressPo Box 8406Gadsden, AL 35902-8406 · (256) 546-9265 · Fax (256) 549-0376
Phone(256) 546-9265
Fax(256) 549-0376
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2013
Enumeration DateNovember 12, 2018
✔ NPI 1164990883 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 AL · 4231C
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.
3001 SCENIC HWY, Gadsden, AL 35904
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama, Oscar Insurance Company, UnitedHealthcare.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

Ms. Sandy Marie Hughes Licsw 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 ID345585857
PECOS Enrollment IDI20190102001215
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 Sandy Hughes reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeastern Psychiatric Management, Inc.
Same address
Psychiatric Hospital
3001 SCENIC HWY
Gadsden, AL 35904
  • Reassigned Medicare billing, Alabama enrollment
  • 9 clinicians in this Medicare group
NPI 1346240470 (256) 546-9265

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 35904 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 $52.65 – $161.63
Typical copayment $0.00 (range $13.16 – $40.40)
Most-billed visit code NA
Established Patient
$66.08 typical visit price
range $16.56 – $131.65
Typical copayment $16.52 (range $4.14 – $32.91)
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.

MRS. DAPHNE RAGLAND LPC
Counselor (Professional)
3001 SCENIC HWY
GADSDEN, AL 35904
Etowah County (256) 546-9265
JENNIFER SAVAGE LCSW
Counselor (Mental Health)
3001 SCENIC HWY
GADSDEN, AL 35904
Etowah County (256) 546-9265
JANET LAWSON LPC
Counselor (Mental Health)
3001 SCENIC HWY
GADSDEN, AL 35904
Etowah County (256) 546-9265
MS. VIRGINIA SEIBELS LPC
Counselor (Mental Health)
3001 SCENIC HWY
GADSDEN, AL 35904
Etowah County (256) 546-9265
MR. DAVID L. SHEHI
Counselor (Addiction (Substance Use Disorder))
3001 SCENIC HWY
GADSDEN, AL 35904
Etowah County (256) 546-9265
SOUTHEASTERN PSYCHIATRIC MANAGEMENT. INC.
Psychiatric Hospital
3001 SCENIC HWY
GADSDEN, AL 35904
Etowah County (256) 546-9265
SOUTHEASTERN PSYCHIATRIC MANAGEMENT, INC.
Counselor (Mental Health)
3001 SCENIC HWY
GADSDEN, AL 35904
Etowah County (256) 546-9265
GMSPHC PARTNERS LLC
Psychiatric Hospital
3001 SCENIC HWY
GADSDEN, AL 35904
Etowah County (256) 546-9265

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 Sandy Hughes's NPI number?

The NPI number for Sandy Hughes is 1164990883. It was assigned to this individual provider in the NPPES registry on November 12, 2018.

Where is Sandy Hughes located?

Sandy Hughes practices at 3001 Scenic Hwy, Gadsden, AL 35904. The listed phone number is (256) 546-9265.

What is Sandy Hughes's specialty?

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

Is Sandy Hughes enrolled in Medicare?

Yes. Sandy Hughes 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 Sandy Hughes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandy Hughes reassigns Medicare benefits to Southeastern Psychiatric Management, Inc. (Gadsden, AL). 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 Sandy Hughes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandy Hughes accept?

Health plans from Blue Cross and Blue Shield of Alabama, Oscar Insurance Company and UnitedHealthcare list Sandy Hughes 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 Sandy Hughes was last updated on November 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.