Andrew McKinnon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW016597 Issued in PA

Practice address

119 S Burrowes St
Ste 702
State College, PA 16801-3864

Phone

(814) 441-8855

NPI assigned

Sep 27, 2011

Last updated

Dec 7, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1317081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481068800000",
    "number": "1447533310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 E BLADE DR",
            "city": "PA FURNACE",
            "state": "PA",
            "postal_code": "168659507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 S BURROWES ST",
            "address_2": "STE 702",
            "city": "STATE COLLEGE",
            "state": "PA",
            "postal_code": "168013864",
            "telephone_number": "814-441-8855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKINNON",
        "first_name": "ANDREW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-09-27",
        "last_updated": "2016-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW016597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Jane McGuigan, PSYD
• Philip Donald McIntyre, R. PH.
• Shawna Lee McKean, L.P.C.
• Lilian Patrice McKinley, MD
• Timothy David McKinley
• Dylan McNeill
• Marjorie Mearkle, IBCLC
• Medexpress Urgent Care, PC - Pennsylvania (MedExpress Urgent Care - State College)
• Medi Home Health Agency, Inc. (Medi Home Hospice)
• Medi Home Health Agency, Inc. (Medi Home Health Agency)

• Clinical Social Worker in State College, PA
• Providers in State College, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.