MEDICARE: ANDREW W DOWEY LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	098433	NY

General Provider Information

NPI Number	:	1609747617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW W DOWEY LCSW

Provider Business Mailing Address
First Line	:	36377 SARAH LN
Second Line	:
City	:	LA FARGEVILLE
State	:	NY
Zip	:	13656-2343
Country	:	US
Telephone Number	:	330-780-6226
Fax Number	:

Provider Business Practice Location Address
First Line	:	11050 MOUNT BELVEDERE BLVD
Second Line	:
City	:	FORT DRUM
State	:	NY
Zip	:	13602-5438
Country	:	US
Telephone Number	:	315-772-6773
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/15/2025
Last Update Date	:	12/04/2025

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