Individual
MS. ANDREA SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5109 HIGHWAY 278 NE STE D, COVINGTON, GA 30014-2608
(678) 769-5089
Mailing address
5109 HIGHWAY 278 NE STE D, COVINGTON, GA 30014-2608
(678) 789-4472
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW004111
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202G700706
MEDICARE: GROUP
GA
01
—
202I803230
MEDICARE
GA
Enumeration date
01/15/2010
Last updated
03/17/2025
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