Provider Demographics
NPI:1942312517
Name:MURPHY, ANDREA BALICK (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:BALICK
Last Name:MURPHY
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:
Other - Last Name:MURPHY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1616 NEW LONDON RD
Mailing Address - Street 2:
Mailing Address - City:LANDENBERG
Mailing Address - State:PA
Mailing Address - Zip Code:19350-1110
Mailing Address - Country:US
Mailing Address - Phone:484-868-6960
Mailing Address - Fax:
Practice Address - Street 1:1616 NEW LONDON RD
Practice Address - Street 2:
Practice Address - City:LANDENBERG
Practice Address - State:PA
Practice Address - Zip Code:19350-1110
Practice Address - Country:US
Practice Address - Phone:484-868-6960
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2019-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0126701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA7735300OtherAETNA
PA283295000OtherKEYSTONE
PA2321390000OtherIBC