1. Home
  2. Directory
  3. Illinois
  4. Decatur
  5. Social Worker
  6. NPI Profile

ANDREA LYNNE SMITH LSW
NPI 1265209951
Social Worker in Decatur, IL

Active since December 04, 2023PECOS Enrolled
151 N MAIN ST, DECATUR, IL 62523(217) 362-6262 Get Directions Write a Review

NPPES record last updated: December 4, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Andrea Lynne Smith Lsw NPPES

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

ANDREA LYNNE SMITH LSW (NPI 1265209951) is an individual social worker in Decatur, Illinois, licensed in Illinois (150.106886) and active in the NPI registry since December 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1265209951
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameANDREA LYNNE SMITHCredential: LSW
Location Address151 N MAIN STDecatur, IL 62523-1206
Mailing Address151 N Main StDecatur, IL 62523-1206 · (217) 362-6262
Phone(217) 362-6262
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateDecember 4, 2023
NPPES CertifiedDecember 4, 2023
✔ NPI 1265209951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in IL · 150.106886
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
151 N MAIN ST, Decatur, IL 62523
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Lynne Smith Lsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991287294
PECOS Enrollment IDI20260305002273
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 Smith reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Heritage Behavioral Health Center Inc.
Same address
Primary Care
151 N MAIN ST
Decatur, IL 62523
  • Reassigned Medicare billing, Illinois enrollment
  • 38 clinicians in this Medicare group
NPI 1023708880 (217) 362-6262

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

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.

CARRIE A RAY
Counselor (Professional)
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
CATHY JOHANSEN L.P.N.
Licensed Practical Nurse
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
MATYA LEANN RILEY FNP-C
Nurse Practitioner (Family)
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
ADDIE L SMITH LSW
Social Worker
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
BARBARA L PICKETT
Licensed Practical Nurse
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
HERITAGE BEHAVIORAL HEALTH CENTER INC.
Clinic/Center (Primary Care)
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
MICHELLE HANSON LCPC
Counselor (Professional)
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 362-6262
LESA J MCMAHON-LOWE LCPC
Counselor (Professional)
151 N MAIN ST
DECATUR, IL 62523
Macon County (217) 420-4776

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 Smith's NPI number?

The NPI number for Andrea Smith is 1265209951. It was assigned to this individual provider in the NPPES registry on December 4, 2023.

Where is Andrea Smith located?

Andrea Smith practices at 151 N Main St, Decatur, IL 62523. The listed phone number is (217) 362-6262.

What is Andrea Smith's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Andrea Smith enrolled in Medicare?

Yes. Andrea Smith is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Andrea Smith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Smith reassigns Medicare benefits to Heritage Behavioral Health Center Inc. (Decatur, IL). 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 Andrea Smith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Andrea Smith was last updated on December 4, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.