Marcella C Andrews, LCSW

Individual provider Active NPI Clinical Social Worker · Chesterfield, VA

NPI 1497855043 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1497855043
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
0904 879 (VA)
Practice address
10109 Krause Rd
Suite 100
Chesterfield, VA 23832-6501
Phone
(804) 751-8644
Fax
(804) 751-0648
NPI assigned
Sep 24, 2006
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
0904 879VAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 0904 879 VA Yes

Addresses

Primary practice location

10109 Krause Rd
Suite 100
Chesterfield, VA 23832-6501

Mailing address

10109 Krause Rd
Suite 100
Chesterfield, VA 23832-6501
Phone (804) 751-8644

Other providers in Chesterfield, VA

All providers in Chesterfield, VA · Clinical Social Worker in Virginia

Sources for this page

Verify at the official NPI Registry.