Provider Demographics
NPI:1497105449
Name:LEAR, ANDREW (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:LEAR
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2415 W MAIN ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:BOZEMAN
Mailing Address - State:MT
Mailing Address - Zip Code:59718-3808
Mailing Address - Country:US
Mailing Address - Phone:406-589-5512
Mailing Address - Fax:
Practice Address - Street 1:2415 W MAIN ST
Practice Address - Street 2:SUITE 2
Practice Address - City:BOZEMAN
Practice Address - State:MT
Practice Address - Zip Code:59718-3808
Practice Address - Country:US
Practice Address - Phone:406-589-5512
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-20
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCSW-LIC-181881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical