Provider Demographics
NPI:1003181827
Name:D'ANDREA, ANDREA CLAIRE (MSW LISW)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:CLAIRE
Last Name:D'ANDREA
Suffix:
Gender:F
Credentials:MSW LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1206 GROVE PARK DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-9149
Mailing Address - Country:US
Mailing Address - Phone:843-810-6747
Mailing Address - Fax:
Practice Address - Street 1:4 CARRIAGE LN
Practice Address - Street 2:SUITE 203-B
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-6065
Practice Address - Country:US
Practice Address - Phone:843-810-6747
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-12
Last Update Date:2013-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC99191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical