Provider Demographics
NPI:1225065675
Name:ANDREWS, CHARLES P (LCSW)
Entity Type:Individual
Prefix:MR
First Name:CHARLES
Middle Name:P
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:590 BELMONT DR
Mailing Address - Street 2:
Mailing Address - City:ST GEORGE
Mailing Address - State:UT
Mailing Address - Zip Code:84790-7408
Mailing Address - Country:US
Mailing Address - Phone:435-656-0255
Mailing Address - Fax:435-674-0092
Practice Address - Street 1:1067 E TABERNACLE ST STE 7
Practice Address - Street 2:
Practice Address - City:ST GEORGE
Practice Address - State:UT
Practice Address - Zip Code:84770-3187
Practice Address - Country:US
Practice Address - Phone:435-634-7608
Practice Address - Fax:435-674-0092
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT114055-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical