Provider Demographics
NPI:1689110470
Name:ALLSOPP, ANDRE CHRISTOPHER (LCSW)
Entity Type:Individual
Prefix:
First Name:ANDRE
Middle Name:CHRISTOPHER
Last Name:ALLSOPP
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 TECH CENTER PKWY STE 200
Mailing Address - Street 2:
Mailing Address - City:NEWPORT NEWS
Mailing Address - State:VA
Mailing Address - Zip Code:23606-3075
Mailing Address - Country:US
Mailing Address - Phone:757-977-2100
Mailing Address - Fax:757-210-3969
Practice Address - Street 1:700 TECH CENTER PKWY STE 200
Practice Address - Street 2:
Practice Address - City:NEWPORT NEWS
Practice Address - State:VA
Practice Address - Zip Code:23606-3075
Practice Address - Country:US
Practice Address - Phone:757-977-2100
Practice Address - Fax:757-210-3969
Is Sole Proprietor?:No
Enumeration Date:2017-01-17
Last Update Date:2021-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040097431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical