Provider Demographics
NPI:1851683247
Name:LAHTI, ANDREA MARIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:MARIE
Last Name:LAHTI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:138 CHARLOTTE ST UNIT 205
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1971
Mailing Address - Country:US
Mailing Address - Phone:828-338-3777
Mailing Address - Fax:828-254-1524
Practice Address - Street 1:138 CHARLOTTE ST 205
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1971
Practice Address - Country:US
Practice Address - Phone:828-338-3777
Practice Address - Fax:828-254-1524
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-04
Last Update Date:2016-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0046971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCQ36712CMedicare Oscar/Certification