Provider Demographics
NPI:1134103260
Name:ANDREWS, ROBERT JOSEPH (MSW)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:JOSEPH
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:72 3RD ST
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02906-2729
Mailing Address - Country:US
Mailing Address - Phone:401-276-2723
Mailing Address - Fax:401-276-2723
Practice Address - Street 1:54 3RD ST
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02906-2729
Practice Address - Country:US
Practice Address - Phone:401-276-2723
Practice Address - Fax:401-276-2723
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-01
Last Update Date:2016-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILCDP00015101YA0400X
RILCDS00025101YA0400X
RIISW012991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
RI7126290OtherSOCIAL WORK
RI9002948Medicaid
RI214843Medicare UPIN
RI809002948Medicare ID - Type UnspecifiedSOCIAL WORK
RI408083Medicare UPIN
RI6234020Medicare UPIN
RI334092Medicare UPIN
RI9002948Medicaid
RI2172820Medicare UPIN
RI7126290OtherSOCIAL WORK
RI0458417Medicare UPIN