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ANDREA OPEL LCSW-C, LICSW
NPI 1497194658
Social Worker - Clinical in Grantsville, MD

Active since June 21, 2013PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
12582 NATIONAL PIKE, GRANTSVILLE, MD 21536(301) 381-0743(301) 313-5332 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 5, 2025, Jun 4, 2024, Apr 7, 2022 and 1 more (4 updates tracked since 2019).

About Andrea Opel Lcsw-c, Licsw NPPES

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

ANDREA OPEL LCSW-C, LICSW (NPI 1497194658) is an individual clinical provider in Grantsville, Maryland, licensed in Maryland (24747) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1497194658
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameANDREA OPELCredential: LCSW-C, LICSW
Location Address12582 NATIONAL PIKEGrantsville, MD 21536-3310
Mailing Address12582 National PikeGrantsville, MD 21536-3310 · (301) 381-0743 · Fax (301) 313-5332
Phone(301) 381-0743
Fax(301) 313-5332
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJune 21, 2013
Last NPPES UpdateFebruary 27, 20264 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2026
✔ NPI 1497194658 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 MD · 24747✔ Licensed in WV · DP00945969✔ Licensed in IN · 34007521A
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.
12582 NATIONAL PIKE, Grantsville, MD 21536
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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 Opel Lcsw-c, 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 ID1557616588
PECOS Enrollment IDI20190529001195
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 21536 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 $57.99 – $175.57
Typical copayment $0.00 (range $14.49 – $43.89)
Most-billed visit code NA
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARMONY TREE COUNSELING AND WELLNESS, LLC
Community/Behavioral Health
12582 NATIONAL PIKE
GRANTSVILLE, MD 21536
Garrett County (301) 381-0743

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 Opel's NPI number?

The NPI number for Andrea Opel is 1497194658. It was assigned to this individual provider in the NPPES registry on June 21, 2013.

Where is Andrea Opel located?

Andrea Opel practices at 12582 National Pike, Grantsville, MD 21536. The listed phone number is (301) 381-0743.

What is Andrea Opel's specialty?

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

Is Andrea Opel enrolled in Medicare?

Yes. Andrea Opel 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.

When was this NPI record last updated?

The NPPES record for Andrea Opel was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.