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NPI Code Detail

MEDICARE: ANDREYA ANDERSON

MEDICARE:   ANDREYA  ANDERSON
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker31895
2101YM0800XMental Health Counselor31895MD

General Provider Information

NPI Number : 1043178080
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREYA ANDERSON
Provider Business Mailing Address
First Line : 31 STRETHAM CT
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-4739
Country : US
Telephone Number : 240-415-8360
Fax Number :
Provider Business Practice Location Address
First Line : 31 STRETHAM CT
Second Line :
City : OWINGS MILLS
State : MD
Zip : 21117-4739
Country : US
Telephone Number : 240-415-8360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/09/2026
Last Update Date : 01/12/2026

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Directions to “ ANDREYA ANDERSON ” Practice Location

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