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DR. ANDREA DOYLE PHD, LCSW
NPI 1235420647
Social Worker - Clinical in Philadelphia, PA

Active since April 20, 2011PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
3701 LOCUST WALK, PHILADELPHIA, PA 19104(215) 746-5486 Get Directions Write a Review

NPPES record last updated: April 20, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Andrea Doyle Phd, Lcsw NPPES

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

DR. ANDREA DOYLE PHD, LCSW (NPI 1235420647) is an individual clinical provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (CW016926) and active in the NPI registry since April 2011. She is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1235420647
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameDR. ANDREA DOYLECredential: PHD, LCSW
Location Address3701 LOCUST WALKPhiladelphia, PA 19104-6214
Mailing Address5148 Chancellor StPhiladelphia, PA 19139-4109 · (215) 746-5486
Phone(215) 746-5486
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 20, 2011
✔ NPI 1235420647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Licenses✔ Licensed in PA · CW016926✔ Licensed in NJ · 44SC05457800
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.
3701 LOCUST WALK, Philadelphia, PA 19104
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Other Identifiers 1

OtherCW016926PA · Pa State Board Of Social Workers, Marital And Family Therapists, And Professiona

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Andrea Doyle Phd, 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 ID9537345483
PECOS Enrollment IDI20190107002182
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 19104 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 $59.88 – $180.99
Typical copayment $0.00 (range $14.97 – $45.24)
Most-billed visit code NA
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.46
Promoting Interoperability100
Improvement Activities40

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 Andrea Doyle's NPI number?

The NPI number for Andrea Doyle is 1235420647. It was assigned to this individual provider in the NPPES registry on April 20, 2011.

Where is Andrea Doyle located?

Andrea Doyle practices at 3701 Locust Walk, Philadelphia, PA 19104. The listed phone number is (215) 746-5486.

What is Andrea Doyle's specialty?

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

Is Andrea Doyle enrolled in Medicare?

Yes. Andrea Doyle 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.

What insurance does Andrea Doyle accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Molina Healthcare list Andrea Doyle 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 Andrea Doyle was last updated on April 20, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.