Provider Demographics
NPI:1710288014
Name:TORREZ, ANDREA NOEL (MS, LCSW)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:NOEL
Last Name:TORREZ
Suffix:
Gender:F
Credentials:MS, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2488 W WASHINGTON AVE
Mailing Address - Street 2:SUITE 150
Mailing Address - City:NAMPA
Mailing Address - State:ID
Mailing Address - Zip Code:83686-2677
Mailing Address - Country:US
Mailing Address - Phone:208-287-9420
Mailing Address - Fax:208-287-9426
Practice Address - Street 1:17 12TH AVE S
Practice Address - Street 2:SUITE 207
Practice Address - City:NAMPA
Practice Address - State:ID
Practice Address - Zip Code:83651-3952
Practice Address - Country:US
Practice Address - Phone:208-350-8998
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-03
Last Update Date:2016-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW-302191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical