Provider Demographics
NPI:1689686990
Name:MCGAHAN, ANDREW JOSEPH (LCSW LICSW)
Entity Type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:JOSEPH
Last Name:MCGAHAN
Suffix:
Gender:M
Credentials:LCSW LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 COMMERCE PL STE D
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31406-3696
Mailing Address - Country:US
Mailing Address - Phone:912-231-3576
Mailing Address - Fax:
Practice Address - Street 1:24 COMMERCE PL STE D
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31406-3696
Practice Address - Country:US
Practice Address - Phone:912-231-3576
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-13
Last Update Date:2019-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3000848104100000X
VA0904005414104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA350580OtherMHN
DCA2840139OtherBCBS
VA245890OtherKAISER
VA7935657OtherBCBS
VA7935657OtherAETNA
VA264965000OtherMAGELLAN
VA530196598OtherTRICARE
MD64321301OtherBCBS