Provider Demographics
NPI:1184924276
Name:ANDREWS, ELODIE (LCSW)
Entity type:Individual
Prefix:
First Name:ELODIE
Middle Name:
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9378 OLIVE BLVD
Mailing Address - Street 2:STE 106
Mailing Address - City:OLIVETTE
Mailing Address - State:MO
Mailing Address - Zip Code:63132-3222
Mailing Address - Country:US
Mailing Address - Phone:314-933-6587
Mailing Address - Fax:888-975-7670
Practice Address - Street 1:9378 OLIVE BLVD
Practice Address - Street 2:STE 106
Practice Address - City:OLIVETTE
Practice Address - State:MO
Practice Address - Zip Code:63132-3222
Practice Address - Country:US
Practice Address - Phone:314-933-6587
Practice Address - Fax:888-975-7670
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-24
Last Update Date:2019-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20120286551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical