Stephanie A. Andre, L.C.S.W.
Individual provider Active NPI Clinical Social Worker · McClellan, CA
NPI 1073781969 · NPPES record last updated Jun 16, 2011
Key facts
- NPI
- 1073781969
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 26878 (CA)
- Practice address
- 5342 Dudley Blvd # 98
McClellan, CA 95652-1012 - Phone
- (916) 240-3044
- NPI assigned
- Feb 14, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 26878 | CA | Yes |
Addresses
Primary practice location
5342 Dudley Blvd # 98
McClellan, CA 95652-1012
Mailing address
5828 Ford Rd
Rocklin, CA 95765-4302
Phone (916) 412-6787
Other providers in McClellan, CA
- Dana Kirkwood Adkins
- Arusa Ahmed
- Mark-Mushtaq Javed Ahmed
- Reiln Allen
- Cynthia Rosemary Alli
- Erick Aponte Guzman
- Michelle Araiza
- Jocelyn Marie Avera
- Lauren Rose Bailey
- Ariana Barraza
All providers in McClellan, CA · Clinical Social Worker in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.