MEDICARE: ANDREA CLAIBORNE

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
1	1041C0700X	Clinical Social Worker	0904009379	VA

General Provider Information

NPI Number	:	1134583313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA CLAIBORNE

Provider Business Mailing Address
First Line	:	7505 RICHMOND RD STE 3300-306
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23188-7226
Country	:	US
Telephone Number	:	757-801-8241
Fax Number	:

Provider Business Practice Location Address
First Line	:	7505 RICHMOND RD STE 3300-306
Second Line	:
City	:	WILLIAMSBURG
State	:	VA
Zip	:	23188-7226
Country	:	US
Telephone Number	:	757-801-8241
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/13/2016
Last Update Date	:	11/10/2025

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