John A Andreozzi, LICSW

Individual provider Active NPI Clinical Social Worker · Saint Paul, MN

NPI 1255477667 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1255477667
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
08947 (MN)
Practice address
1919 University Ave W Ste 200
Saint Paul, MN 55104-3435
Phone
(651) 266-7923
NPI assigned
Jan 30, 2007
Sex
Male
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

State licenses

LicenseStateTypeSpecialty
08947MNMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 08947 MN Yes

Addresses

Primary practice location

1919 University Ave W Ste 200
Saint Paul, MN 55104-3435

Mailing address

1919 University Ave W Ste 200
Saint Paul, MN 55104-3435
Phone (651) 266-7923

Other providers in Saint Paul, MN

All providers in Saint Paul, MN · Clinical Social Worker in Minnesota

Sources for this page

Verify at the official NPI Registry.