MEDICARE: ANDREW R SPARROW MSW, LGSW

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	35531	MN

General Provider Information

NPI Number	:	1841049483
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW R SPARROW MSW, LGSW

Provider Business Mailing Address
First Line	:	2906 MINNESOTA AVE
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55802-2528
Country	:	US
Telephone Number	:	218-733-5112
Fax Number	:

Provider Business Practice Location Address
First Line	:	205 W 2ND ST
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55802-1928
Country	:	US
Telephone Number	:	651-243-0691
Fax Number	:

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

Provider Enumeration Date	:	05/16/2024
Last Update Date	:	12/19/2025

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