Provider Demographics
NPI:1326311226
Name:BROOKS, ANDREA LEIGH (MSW, LSW)
Entity Type:Individual
Prefix:MISS
First Name:ANDREA
Middle Name:LEIGH
Last Name:BROOKS
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:919 CONESTOGA RD
Mailing Address - Street 2:BUILDING THREE, SUITE 110
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-1352
Mailing Address - Country:US
Mailing Address - Phone:484-380-2080
Mailing Address - Fax:484-380-2087
Practice Address - Street 1:919 CONESTOGA RD
Practice Address - Street 2:BUILDING THREE, SUITE 110
Practice Address - City:BRYN MAWR
Practice Address - State:PA
Practice Address - Zip Code:19010-1352
Practice Address - Country:US
Practice Address - Phone:484-380-2080
Practice Address - Fax:484-380-2087
Is Sole Proprietor?:No
Enumeration Date:2012-02-23
Last Update Date:2012-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW1281871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical