Provider Demographics
NPI:1841328630
Name:WARD, ANDREW (LICSW)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:
Last Name:WARD
Suffix:
Gender:M
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 EDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:WAYLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01778-4338
Mailing Address - Country:US
Mailing Address - Phone:617-263-0746
Mailing Address - Fax:
Practice Address - Street 1:62 EDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:WAYLAND
Practice Address - State:MA
Practice Address - Zip Code:01778-4338
Practice Address - Country:US
Practice Address - Phone:617-283-0746
Practice Address - Fax:617-534-9515
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2025-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10154081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical