MEDICARE: ANDREW PEARSON MSW

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1518333723
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW PEARSON MSW

Provider Business Mailing Address
First Line	:	223 16TH AVE N
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83687-4058
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	228 S HOLLY ST
Second Line	:
City	:	NAMPA
State	:	ID
Zip	:	83686-5104
Country	:	US
Telephone Number	:	208-606-0469
Fax Number	:

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

Provider Enumeration Date	:	08/12/2015
Last Update Date	:	10/19/2022

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Directions to “ ANDREW PEARSON MSW” Practice Location

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