Provider Demographics
NPI:1558139154
Name:STRAUS, ANDREA C (LCSW)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:C
Last Name:STRAUS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3671 HUDSON MANOR TER APT 17K
Mailing Address - Street 2:
Mailing Address - City:BRONX
Mailing Address - State:NY
Mailing Address - Zip Code:10463-1140
Mailing Address - Country:US
Mailing Address - Phone:914-260-4019
Mailing Address - Fax:
Practice Address - Street 1:3671 HUDSON MANOR TER APT 17K
Practice Address - Street 2:
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10463-1140
Practice Address - Country:US
Practice Address - Phone:914-260-4019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO39244-011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical