MEDICARE: ANDREA BLAU

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	SW25717	FL

General Provider Information

NPI Number	:	1467316158
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA BLAU

Provider Business Mailing Address
First Line	:	1776 PARK TREE PL
Second Line	:
City	:	DELRAY BEACH
State	:	FL
Zip	:	33445-1250
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8461 LAKE WORTH RD STE 250
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33467-2474
Country	:	US
Telephone Number	:	561-790-1191
Fax Number	:

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

Provider Enumeration Date	:	12/16/2025
Last Update Date	:	12/16/2025

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