Provider Demographics
NPI:1639495377
Name:CAGGIANO, ANDREA LEIGH (LCSW, CAC II)
Entity Type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:LEIGH
Last Name:CAGGIANO
Suffix:
Gender:F
Credentials:LCSW, CAC II
Other - Prefix:MS
Other - First Name:ANDREA
Other - Middle Name:LEIGH
Other - Last Name:WRIGHT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:2719 CHAPARRAL DR
Mailing Address - Street 2:
Mailing Address - City:FORT COLLINS
Mailing Address - State:CO
Mailing Address - Zip Code:80526-2619
Mailing Address - Country:US
Mailing Address - Phone:716-909-4996
Mailing Address - Fax:
Practice Address - Street 1:1440 W 29TH ST
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-2459
Practice Address - Country:US
Practice Address - Phone:970-541-1013
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY080456104100000X
NMM-07831104100000X
COCSW 099242861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker