Provider Demographics
NPI:1922619592
Name:ANDREWS, ALISON L (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:L
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3072 BRIDGEHAM ST
Mailing Address - Street 2:
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60124-8941
Mailing Address - Country:US
Mailing Address - Phone:847-421-4597
Mailing Address - Fax:
Practice Address - Street 1:81 S MCLEAN BLVD STE C
Practice Address - Street 2:
Practice Address - City:SOUTH ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60177-1833
Practice Address - Country:US
Practice Address - Phone:847-421-4597
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-16
Last Update Date:2020-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0220131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical