Provider Demographics
NPI:1558515577
Name:ANDREWS, FREDRA RHOSHAUNE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:FREDRA
Middle Name:RHOSHAUNE
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:FREDRA
Other - Middle Name:RHOSHAUNE
Other - Last Name:BUTLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:185 NEW UNION HTS
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:TN
Mailing Address - Zip Code:37355-7157
Mailing Address - Country:US
Mailing Address - Phone:615-934-6846
Mailing Address - Fax:
Practice Address - Street 1:530 GREAT CIRCLE RD
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37228-1309
Practice Address - Country:US
Practice Address - Phone:615-924-2886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-05
Last Update Date:2014-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN5626104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker