Provider Demographics
NPI:1053491043
Name:ANDREWS, BETH ANN (LCSW, LADC, CCS)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:ANN
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:LCSW, LADC, CCS
Other - Prefix:
Other - First Name:BETH
Other - Middle Name:ANDREWS
Other - Last Name:LAMBERSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW, LADC, CCS
Mailing Address - Street 1:PO BOX 71
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04021-0071
Mailing Address - Country:US
Mailing Address - Phone:207-650-2011
Mailing Address - Fax:
Practice Address - Street 1:261 MAIN ST
Practice Address - Street 2:
Practice Address - City:YARMOUTH
Practice Address - State:ME
Practice Address - Zip Code:04096-6755
Practice Address - Country:US
Practice Address - Phone:207-650-2011
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-16
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC2472101YA0400X
MELC77011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME427010099Medicaid