Darcy N Andre
Individual provider Active NPI Clinical Social Worker · Wilbraham, MA
NPI 1578045878 · NPPES record last updated Sep 4, 2018
Key facts
- NPI
- 1578045878
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 115412-SW-LICSW (MA)
- Practice address
- 621 Main St
Wilbraham, MA 01095-1603 - Phone
- (413) 596-9011
- NPI assigned
- Sep 4, 2018
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 364683 | MA | MD | School Counselor |
| 115412-SW-LICSW | MA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Counselor | 101YS0200X | 364683 | MA | |
| Clinical Social Worker | 1041C0700X | 115412-SW-LICSW | MA | Yes |
Addresses
Primary practice location
621 Main St
Wilbraham, MA 01095-1603
Mailing address
40 Forest Ridge Rd
West Springfield, MA 01089-1655
Other providers in Wilbraham, MA
- Active Physical Therapy and Wellness, LLC
- Jordana Adair-Pinnock
- Darlene Akubuiro
- Christina Althen
- Megan Brianne Anello
- Anesthesia Associates of Springfield Inc
- Marc M Arnone
- Tom M. Atimbo
- Gary R Avanzato
All providers in Wilbraham, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2018. 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.