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ANDRE PAPAJOHN L.C.S.W.
NPI 1740432475
Social Worker - Clinical in Ventura, CA

Active since October 13, 2008PECOS EnrolledAccepts Medicare Assignment
41 S WAKE FOREST AVE UNIT 7511, VENTURA, CA 93006(805) 393-2399 Get Directions Write a Review

NPPES record last updated: December 5, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 5, 2024, Mar 5, 2020, Jun 14, 2019 (3 updates tracked since 2019).

About Andre Papajohn L.c.s.w. NPPES

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

ANDRE PAPAJOHN L.C.S.W. (NPI 1740432475) is an individual clinical provider in Ventura, California, licensed in California (89040) and active in the NPI registry since October 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1740432475
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameANDRE PAPAJOHNCredential: L.C.S.W.
Location Address41 S WAKE FOREST AVE UNIT 7511Ventura, CA 93006-8122
Mailing Address41 S Wake Forest Ave Unit 7511Ventura, CA 93006-8122 · (805) 393-2399
Phone(805) 393-2399
Sole ProprietorYes
Medical School CMSOtherGraduated 2000
Enumeration DateOctober 13, 2008
Last NPPES UpdateDecember 5, 20243 updates tracked since enumeration
NPPES CertifiedDecember 5, 2024
✔ NPI 1740432475 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 CA · 89040✔ Licensed in MA · 112208
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.
41 S WAKE FOREST AVE UNIT 7511, Ventura, CA 93006
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.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

Andre Papajohn L.c.s.w. 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 ID8729137658
PECOS Enrollment IDI20190705001231
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 Andre Papajohn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sud Specialty Group - Ca
265 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

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 93006 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 $62.32 – $185.36
Typical copayment $0.00 (range $15.58 – $46.34)
Most-billed visit code NA
Established Patient
$77.11 typical visit price
range $20.68 – $151.85
Typical copayment $19.27 (range $5.17 – $37.96)
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.

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 Andre Papajohn's NPI number?

The NPI number for Andre Papajohn is 1740432475. It was assigned to this individual provider in the NPPES registry on October 13, 2008.

Where is Andre Papajohn located?

Andre Papajohn practices at 41 S Wake Forest Ave Unit 7511, Ventura, CA 93006. The listed phone number is (805) 393-2399.

What is Andre Papajohn's specialty?

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

Is Andre Papajohn enrolled in Medicare?

Yes. Andre Papajohn 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 Andre Papajohn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andre Papajohn reassigns Medicare benefits to Sud Specialty Group - Ca (Santa Clara, CA). 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 Andre Papajohn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andre Papajohn accept?

Health plans from Harvard Pilgrim Health Care list Andre Papajohn 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 Andre Papajohn was last updated on December 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 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.