ANDREA K BLACKWELL LCSW
NPI 1457674111
Social Worker - Clinical in Greenville, SC

Q: What is Andrea Blackwell's NPI number?

The NPI number for Andrea Blackwell is 1457674111. It was assigned to this individual provider in the NPPES registry on March 10, 2010.

Q: What is Andrea Blackwell's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Andrea Blackwell was last updated on March 31, 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.

Active since March 10, 2010PECOS EnrolledAccepts Medicare Assignment

124 MALLARD ST., GREENVILLE, SC 29601(864) 241-1040(864) 241-1215 Get Directions Write a Review

NPPES record last updated: March 31, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Andrea K Blackwell Lcsw NPPES

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

ANDREA K BLACKWELL LCSW (NPI 1457674111) is an individual clinical provider in Greenville, South Carolina, licensed in Georgia (CSW008540) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1457674111

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameANDREA K BLACKWELLCredential: LCSW

Location Address124 MALLARD ST.Greenville, SC 29601-4046

Mailing Address1449 Temple RdBremen, GA 30110-2378 · (770) 537-2367

Phone(864) 241-1040

Fax(864) 241-1215

Sole ProprietorNo

Medical School CMSOtherGraduated 2009

Enumeration DateMarch 10, 2010

Last NPPES UpdateMarch 31, 2023

NPPES CertifiedMarch 31, 2023

✔ NPI 1457674111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in GA · CSW008540

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.

Also ListedCounselorTaxonomy 101Y00000X

124 MALLARD ST., Greenville, SC 29601

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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 and accepts Medicare assignment

Andrea K Blackwell 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 ID1759746399

PECOS Enrollment IDI20230503002243

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 1 hour 90837

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 1-hour session, you'll talk about your feelings, thoughts, and behaviors to help identify and manage mental health issues. This process aids in personal growth, healing, and improved well-being.

35 services11 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29601 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 $53.57 – $163.84

Typical copayment $0.00 (range $13.39 – $40.96)

Most-billed visit code NA

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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.

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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. GINAMARIE HACKETT KINCAID M.A.

Counselor