Provider Demographics
NPI:1760148472
Name:HIRSCH, ANDREW J (LCSW)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:J
Last Name:HIRSCH
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 1:225 S SCHOOL ST
Mailing Address - Street 2:
Mailing Address - City:BROWNSBURG
Mailing Address - State:IN
Mailing Address - Zip Code:46112-1360
Mailing Address - Country:US
Mailing Address - Phone:812-288-4688
Mailing Address - Fax:
Practice Address - Street 1:225 S SCHOOL ST
Practice Address - Street 2:
Practice Address - City:BROWNSBURG
Practice Address - State:IN
Practice Address - Zip Code:46112-1360
Practice Address - Country:US
Practice Address - Phone:812-288-4688
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-11-17
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34009510A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical