MEDICARE: ANDRE MCCABE

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	X06219	NM

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	850204142	OTHER	NM	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1275780512
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDRE MCCABE

Provider Business Mailing Address
First Line	:	2800 S SHIRLINGTON RD STE 350
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22206-3617
Country	:	US
Telephone Number	:	202-549-6455
Fax Number	:

Provider Business Practice Location Address
First Line	:	2800 S SHIRLINGTON RD STE 350
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22206-3617
Country	:	US
Telephone Number	:	202-549-6455
Fax Number	:

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

Provider Enumeration Date	:	08/19/2008
Last Update Date	:	06/01/2026

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Directions to “ ANDRE MCCABE ” Practice Location

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