Healthcare Provider Details

I. General information

NPI: 1841049483
Provider Name (Legal Business Name): ANDREW R SPARROW MSW, LGSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/16/2024
Last Update Date: 12/19/2025
Certification Date: 12/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 W 2ND ST
DULUTH MN
55802-1928
US

IV. Provider business mailing address

2906 MINNESOTA AVE
DULUTH MN
55802-2528
US

V. Phone/Fax

Practice location:
  • Phone: 651-243-0691
  • Fax:
Mailing address:
  • Phone: 218-733-5112
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number35531
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: