Healthcare Provider Details

I. General information

NPI: 1346578341
Provider Name (Legal Business Name): ANDREA MARIE FIUME LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/02/2009
Last Update Date: 10/25/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

111 LIVINGSTON ST FL 11
BROOKLYN NY
11201-1260
US

IV. Provider business mailing address

111 LIVINGSTON ST FL 9
BROOKLYN NY
11201-5078
US

V. Phone/Fax

Practice location:
  • Phone: 718-243-6441
  • Fax: 646-894-0157
Mailing address:
  • Phone: 718-243-6441
  • Fax: 718-334-5082

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number073644
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: