Provider Demographics
NPI:1952522435
Name:ANDREW, DOROTHY WARREN (LCSW)
Entity Type:Individual
Prefix:
First Name:DOROTHY
Middle Name:WARREN
Last Name:ANDREW
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DOROTHY
Other - Middle Name:W
Other - Last Name:SAUER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1213 CULBRETH DR
Mailing Address - Street 2:SUITE 215
Mailing Address - City:WILMINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:28405
Mailing Address - Country:US
Mailing Address - Phone:910-509-0093
Mailing Address - Fax:910-256-0630
Practice Address - Street 1:1213 CULBRETH DR
Practice Address - Street 2:SUITE 215
Practice Address - City:WILMINGTON
Practice Address - State:NC
Practice Address - Zip Code:28405
Practice Address - Country:US
Practice Address - Phone:910-509-0093
Practice Address - Fax:910-256-0630
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC006421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical