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

Andrea K Blackwell, LCSW

Individual provider Counselor · NPI 1457674111

Andrea K Blackwell, LCSW is a Clinical Social Worker in Greenville, South Carolina. Qualified in 2009, 17 years ago. Practices with Highland Rivers Community Service Board, a 58-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
17
Licensed in
GA
In the registry since
2010
Specialties on file
2
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

124 Mallard St
Greenville, SC 29601-4046
Phone: (864) 241-1040
Fax: (864) 241-1215
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence CSW008540 (GA)
Counselor Taxonomy 101Y00000X

Record details

NPI number1457674111
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedMarch 10, 2010
Last updated in NPPESMarch 31, 2023
Certification dateMarch 31, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Highland Rivers Community Service Board — 58 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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