MR. ANDREW JAMES CALDWELL MSW, LICSW
NPI 1376581637
Social Worker - Clinical in Oak Hill, WV

Active since June 02, 2006PECOS EnrolledAccepts Medicare Assignment
497 MALL RD, OAK HILL, WV 25901(304) 469-2905(304) 465-5486 Get Directions Write a Review

NPPES record last updated: October 9, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 9, 2023, May 19, 2020 (2 updates tracked since 2020).

About Mr. Andrew James Caldwell Msw, Licsw NPPES

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

MR. ANDREW JAMES CALDWELL MSW, LICSW (NPI 1376581637) is an individual clinical provider in Oak Hill, West Virginia, licensed in West Virginia (DP00938378) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1975).

NPPES Registry Identity

NPI1376581637
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. ANDREW JAMES CALDWELLCredential: MSW, LICSW
Location Address497 MALL RDOak Hill, WV 25901-6216
Mailing Address497 Mall RdOak Hill, WV 25901-6216 · (304) 469-2905 · Fax (304) 465-5486
Fax(304) 465-5486
Sole ProprietorNo
Medical School CMSOtherGraduated 1975
Enumeration DateJune 2, 2006
Last NPPES UpdateOctober 9, 20232 updates tracked since enumeration
NPPES CertifiedOctober 9, 2023
✔ NPI 1376581637 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 WV · DP00938378
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.
497 MALL RD, Oak Hill, WV 25901

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

Mr. Andrew James Caldwell Msw, 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 ID9931439197
PECOS Enrollment IDI20191001002440
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 Caldwell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
497 MALL RD
Oak Hill, WV 25901
  • Reassigned Medicare billing, West Virginia enrollment
  • 34 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 25901 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 $53.20 – $164.59
Typical copayment $0.00 (range $13.30 – $41.14)
Most-billed visit code NA
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

Pharmacy
497 MALL RD
OAK HILL, WV 25901
Physician Assistant (Medical)
497 MALL RD
OAK HILL, WV 25901
Family Medicine
497 MALL RD
OAK HILL, WV 25901
Peer Specialist
497 MALL RD
OAK HILL, WV 25901
Social Worker (Clinical)
497 MALL RD
OAK HILL, WV 25901
Physician Assistant
497 MALL RD
OAK HILL, WV 25901
Clinic/Center (Federally Qualified Health Center (FQHC))
497 MALL RD
OAK HILL, WV 25901
Obstetrics & Gynecology
497 MALL RD
OAK HILL, WV 25901

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 Caldwell's NPI number?

The NPI number for Andrew Caldwell is 1376581637. It was assigned to this individual provider in the NPPES registry on June 2, 2006.

Where is Andrew Caldwell located?

Andrew Caldwell practices at 497 Mall Rd, Oak Hill, WV 25901. The listed phone number is (304) 469-2905.

What is Andrew Caldwell's specialty?

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

Is Andrew Caldwell enrolled in Medicare?

Yes. Andrew Caldwell 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 Caldwell's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Caldwell reassigns Medicare benefits to New River Health Association, Inc. (Oak Hill, WV). 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 Caldwell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Caldwell accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Andrew Caldwell 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 Caldwell was last updated on October 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.