Provider Demographics
NPI:1033384656
Name:WESTOVER, ANDREW REEVES (LMSW)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:REEVES
Last Name:WESTOVER
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 W 3RD ST
Mailing Address - Street 2:
Mailing Address - City:CAMERON
Mailing Address - State:MO
Mailing Address - Zip Code:64429-1708
Mailing Address - Country:US
Mailing Address - Phone:816-632-6161
Mailing Address - Fax:
Practice Address - Street 1:101 W 3RD ST
Practice Address - Street 2:
Practice Address - City:CAMERON
Practice Address - State:MO
Practice Address - Zip Code:64429-1708
Practice Address - Country:US
Practice Address - Phone:816-632-6161
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2010-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20100199221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical