Provider Demographics
NPI:1568736072
Name:STROHMEYER, ANDRES C (LICSW)
Entity Type:Individual
Prefix:MR
First Name:ANDRES
Middle Name:C
Last Name:STROHMEYER
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76 AMORY ST
Mailing Address - Street 2:
Mailing Address - City:ROXBURY
Mailing Address - State:MA
Mailing Address - Zip Code:02119-1012
Mailing Address - Country:US
Mailing Address - Phone:617-516-5116
Mailing Address - Fax:617-442-6917
Practice Address - Street 1:76 AMORY ST
Practice Address - Street 2:
Practice Address - City:ROXBURY
Practice Address - State:MA
Practice Address - Zip Code:02119-1012
Practice Address - Country:US
Practice Address - Phone:617-516-5116
Practice Address - Fax:617-442-6917
Is Sole Proprietor?:No
Enumeration Date:2012-03-01
Last Update Date:2012-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1165271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical