Andrea Chilton
NPI 1558739292 · Clinical Social Worker · Durham, NC
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Andrea Chilton is a Clinical Social Worker provider in Durham, NC (NPI 1558739292).
Provider details
- NPI number
- 1558739292
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- C011205 (NC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
43 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Psychotherapy, 30 Minutes90832 | 27 | $56 |
| Psychotherapy, 45 Minutes90834 | 16 | $74 |
Typical Medicare-allowed amounts for these services range $56–$74 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 23 Sunnybrook RdRaleigh, NC 27610-1855Phone: (919) 235-6435
Registry dates
- Enumerated
- 2015-09-11
- Last updated
- 2023-11-28
- Certified
- 2023-11-28
Frequently asked questions
- What is Andrea Chilton's NPI number?
- Andrea Chilton's National Provider Identifier (NPI) is 1558739292, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrea Chilton's specialty?
- Andrea Chilton is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Andrea Chilton located?
- Andrea Chilton's practice location on file with NPPES is 100 Capitola Dr Ste 310, Durham, NC 27713-4497.
- What is Andrea Chilton's phone number?
- The practice phone number listed in the NPPES registry for Andrea Chilton is (919) 474-6408.
- Does Andrea Chilton accept Medicare?
- Andrea Chilton is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Andrea Chilton's NPI active?
- Yes — Andrea Chilton's NPI (1558739292) is active in the NPPES registry as of the last update on 2023-11-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.