Provider Demographics
NPI:1710153770
Name:CURRERI, ANDREA J (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:J
Last Name:CURRERI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2435 E SOUTHLAKE BLVD
Mailing Address - Street 2:STE. 140
Mailing Address - City:SOUTHLAKE
Mailing Address - State:TX
Mailing Address - Zip Code:76092-6678
Mailing Address - Country:US
Mailing Address - Phone:817-235-2953
Mailing Address - Fax:
Practice Address - Street 1:2435 E SOUTHLAKE BLVD
Practice Address - Street 2:STE 140
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092-6678
Practice Address - Country:US
Practice Address - Phone:817-235-2953
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-30
Last Update Date:2008-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX299441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical