Healthcare Provider Details

I. General information

NPI: 1679782403
Provider Name (Legal Business Name): JAMES H ANDREWS LCSW, BCD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2007
Last Update Date: 07/22/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 WALNUT ST THIRD FLOOR
MCKEESPORT PA
15132-2801
US

IV. Provider business mailing address

645 E PITTSBURGH ST #351
GREENSBURG PA
15601-2634
US

V. Phone/Fax

Practice location:
  • Phone: 412-675-6629
  • Fax: 412-675-8888
Mailing address:
  • Phone: 724-493-4290
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCW015095
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: