Andrew Walsh, LSW

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

44SL06432800 Issued in NJ

Practice address

147 Columbia Tpke Ste 305
Florham Park, NJ 07932-2145

Phone

(973) 978-5502

NPI assigned

Aug 24, 2020

Last updated

Jan 6, 2021By 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)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Garden State Behavioral Health

  • Mental Health Counselor
  • Point Pleasant Boro, NJ
  • NPI 1003767807
  NPD Authorized official
• NJ Family and Addiction Institute

  • Clinical Social Worker
  • Florham Park, NJ
  • NPI 1417517186
  NPD (past)

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

{
    "created_epoch": "1598227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609891200000",
    "number": "1487267183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "147 COLUMBIA TPKE STE 305",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322145",
            "telephone_number": "973-978-5502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "147 COLUMBIA TPKE STE 305",
            "city": "FLORHAM PARK",
            "state": "NJ",
            "postal_code": "079322145",
            "telephone_number": "973-978-5502"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Drake Way",
            "address_purpose": "LOCATION",
            "city": "Flanders",
            "state": "NJ",
            "postal_code": "078364439",
            "country_code": "US",
            "telephone_number": "973-978-5502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALSH",
        "first_name": "ANDREW",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-24",
        "last_updated": "2021-01-06",
        "certification_date": "2021-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NJ",
            "license": "44SL06432800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patra Vongsoasup
• Shivani Vyas, DPT
• Jessica Lynn Wagner, AU.D
• Walgreen Co (Walgreens #12563)
• Alyssa Wall
• Yun Hsiang Wang, MBBS
• Kelli Ward
• Johanna L Watkinson, APN
• Stephanie Weiss, LSW
• Brenda Arlene Welles, LCSW

• Professional Counselor in Florham Park, NJ
• Providers in Florham Park, NJ by specialty
• Professional Counselor in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2021; 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.