MS. ANDREA SMITH (LCSW) – Clinical Social Worker, NPI 1164753034

MS. ANDREA SMITH (LCSW) is a healthcare provider. based in Stockbridge, Georgia. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. CSW004111 (GA). The NPI Number for MS. ANDREA SMITH (LCSW) is 1164753034

Main info

Female
Sole Proprietor
27 Years Of Experience
Accepts Medicare Assignment
Name
MS. ANDREA SMITH (LCSW)
NPI
1164753034
Phone
(678) 789-4472
Address
275 COUNTRY CLUB DR
Enumeration Date
15 January 2010
Last Update Date
17 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6787894472
Graduation Year
1999 (27 years ago)
PAC ID
7012041213
Professional Enrollment ID
I20100810000350
Address ID
GA300142608CO5109XNEXX401
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience56
Completeness75
Years active:16State licenses:1Digital endpointsOther names

1,046 CLINICAL SOCIAL WORKER in GA

Provider Addresses for MS. ANDREA SMITH (LCSW)

  • 275, Country Club Drive, Stockbridge, Henry County, Georgia, 30281, United States

    STOCKBRIDGE, GA 302817349

    Phone: (678) 789-4472

    Type: Mailing

  • 5109 HIGHWAY 278 NE STE D

    COVINGTON, GA 300142608

    Phone: (678) 789-4472

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2010-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100810000350IClinical Social WorkerGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour19515$0
View full utilization report →

Insurance plans in this area (ZIP 30281)

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Reviews

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Frequently asked questions

What is the registry number for MS. ANDREA SMITH (LCSW)?
The registry entry for MS. ANDREA SMITH (LCSW) shows NPI 1164753034.
Is MS. ANDREA SMITH (LCSW) currently accepting referrals based on NPI status?
Registry metadata lists MS. ANDREA SMITH (LCSW) as active.
Which specialty label fits MS. ANDREA SMITH (LCSW)?
NPPES ties MS. ANDREA SMITH (LCSW) to Clinical Social Worker in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is MS. ANDREA SMITH (LCSW) tied to Stockbridge, Georgia?
If you are local to Stockbridge, Georgia, MS. ANDREA SMITH (LCSW) may be relevant to your search.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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