Healthcare Provider Details

I. General information

NPI: 1235821471
Provider Name (Legal Business Name): ANDREW GRAHAM SICHLING LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/25/2023
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 3RD ST
MOLINE IL
61265-6106
US

IV. Provider business mailing address

4600 3RD ST
MOLINE IL
61265-6106
US

V. Phone/Fax

Practice location:
  • Phone: 309-779-3000
  • Fax:
Mailing address:
  • Phone: 309-779-3000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number118832
License Number StateIA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number149.029007
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: