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

Q: 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.

Q: What is Andrea Smith's specialty?

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

Q: 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.

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: August 02, 2026.

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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

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Medicare Participation & PECOS CMS

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

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.

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)