Provider Demographics
NPI:1649498510
Name:ANDREWS, PATRICIA O (MSW)
Entity type:Individual
Prefix:MRS
First Name:PATRICIA
Middle Name:O
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63 WHEATLAND ST
Mailing Address - Street 2:
Mailing Address - City:MARTINSBURG
Mailing Address - State:WV
Mailing Address - Zip Code:25401-0040
Mailing Address - Country:US
Mailing Address - Phone:888-823-3641
Mailing Address - Fax:888-823-3641
Practice Address - Street 1:63 WHEATLAND ST
Practice Address - Street 2:
Practice Address - City:MARTINSBURG
Practice Address - State:WV
Practice Address - Zip Code:25401-0040
Practice Address - Country:US
Practice Address - Phone:888-823-3641
Practice Address - Fax:888-823-3641
Is Sole Proprietor?:No
Enumeration Date:2007-04-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVBP00942131104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker