Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andra Blackheart, LCSW

Individual provider Clinical Social Worker · NPI 1043921612

Andra Blackheart, LCSW is a Clinical Social Worker in Tampa, Florida. Works from 2 locations. Licensed in Florida.

Licensed in
FL
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

5707 N 22nd St
Tampa, FL 33610-4350
Phone: (813) 239-8147
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 12101 N Dale Mabry Hwy Apt 714, Tampa, FL 33618-3303 — (813) 318-1083

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence SW21899 (FL)

Record details

NPI number1043921612
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedDecember 5, 2022
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023

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