Provider Demographics
NPI:1295867216
Name:BEIN, ANDREW MARTIN (LCSW)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:MARTIN
Last Name:BEIN
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 1:1932 BIDWELL WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95818-4306
Mailing Address - Country:US
Mailing Address - Phone:916-443-5287
Mailing Address - Fax:
Practice Address - Street 1:2118 P ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-6149
Practice Address - Country:US
Practice Address - Phone:916-307-8476
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS180191041C0700X
CALCS 180191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical