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NPI Code Detail

MEDICARE: ANDREA CONBOY LCSW

MEDICARE:   ANDREA  CONBOY  LCSW
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
11041C0700XClinical Social WorkerLCS22516CA
21041C0700XClinical Social WorkerLCS 22516CA

General Provider Information

NPI Number : 1962739045
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREA CONBOY LCSW
Provider Business Mailing Address
First Line : 1467 RONDA PL
Second Line :
City : ESCONDIDO
State : CA
Zip : 92027-1613
Country : US
Telephone Number : 760-707-9520
Fax Number :
Provider Business Practice Location Address
First Line : 2924 EMERSON ST STE 207
Second Line :
City : SAN DIEGO
State : CA
Zip : 92106-2795
Country : US
Telephone Number : 760-707-9520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/10/2009
Last Update Date : 09/22/2023

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Directions to “ ANDREA CONBOY LCSW” Practice Location

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