Provider Demographics
NPI:1740327964
Name:ANDREW, BARBARA J (MSW LCSW LMFT)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:J
Last Name:ANDREW
Suffix:
Gender:F
Credentials:MSW LCSW LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 EWING STREET
Mailing Address - Street 2:SUITE C9
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540
Mailing Address - Country:US
Mailing Address - Phone:609-683-0401
Mailing Address - Fax:609-924-8172
Practice Address - Street 1:601 EWING STREET
Practice Address - Street 2:SUITE C9
Practice Address - City:PRINCETON
Practice Address - State:NJ
Practice Address - Zip Code:08540
Practice Address - Country:US
Practice Address - Phone:609-683-0401
Practice Address - Fax:609-924-8172
Is Sole Proprietor?:No
Enumeration Date:2007-01-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC013366001041C0700X
NJ37FI00107100106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AN596118Medicare ID - Type Unspecified