Provider Demographics
NPI:1013166438
Name:INSOFT, ANDREA WERNER (LICSW)
Entity type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:WERNER
Last Name:INSOFT
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:56 LITTLEFIELD RD
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02459-3011
Mailing Address - Country:US
Mailing Address - Phone:617-694-6846
Mailing Address - Fax:
Practice Address - Street 1:1193 WALNUT ST
Practice Address - Street 2:SUITE 6
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02461-1268
Practice Address - Country:US
Practice Address - Phone:617-694-6846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-09
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10179671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical