Provider Demographics
NPI:1083476048
Name:ANDREA STECKLINE LCSW PA
Entity Type:Organization
Organization Name:ANDREA STECKLINE LCSW PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:STECKLINE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-312-0970
Mailing Address - Street 1:409 TERRA DR
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19702-4637
Mailing Address - Country:US
Mailing Address - Phone:302-312-0970
Mailing Address - Fax:
Practice Address - Street 1:100 BIDDLE AVE STE 123
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19702-3982
Practice Address - Country:US
Practice Address - Phone:302-455-7795
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-25
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty