Cody Reginald Andres
NPI 1063090231ActiveIndividual· Social Worker· Davenport, WA
Social Worker with Stevens County, practicing in Davenport, Washington. Enrolled in Medicare as practitioner - mental health counselor.
Overview
| NPI | 1063090231 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 30, 2021 |
| Last updated in NPPES | Nov 7, 2024 |
| Certified by provider | Nov 7, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | LH61488465 | WA |
| Counselor, Mental Health | 101YM0800X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Mental Health Counselor (WA) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Mental Health Counselor |
Medical group
- Stevens CountyColville, WA · 12 clinicians
Other Social Worker providers in Davenport
- 1043029101
- 1720865744