Healthcare Provider Details

I. General information

NPI: 1609747617
Provider Name (Legal Business Name): ANDREW W DOWEY LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/15/2025
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11050 MOUNT BELVEDERE BLVD
FORT DRUM NY
13602-5438
US

IV. Provider business mailing address

36377 SARAH LN
LA FARGEVILLE NY
13656-2343
US

V. Phone/Fax

Practice location:
  • Phone: 315-772-6773
  • Fax:
Mailing address:
  • Phone: 330-780-6226
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number098433
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: