Provider Demographics
NPI:1336513183
Name:NANCY J ANDREWS LCSW PLLC
Entity Type:Organization
Organization Name:NANCY J ANDREWS LCSW PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOTHERAPIST/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:J
Authorized Official - Last Name:ANDREWS
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:520-990-5845
Mailing Address - Street 1:7395 W BLANDFORD DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85743-5547
Mailing Address - Country:US
Mailing Address - Phone:520-990-5845
Mailing Address - Fax:520-638-7761
Practice Address - Street 1:7395 W BLANDFORD DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85743-5547
Practice Address - Country:US
Practice Address - Phone:520-990-5845
Practice Address - Fax:520-638-7761
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-11-17
Last Update Date:2015-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-118041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty