Provider Demographics
NPI:1497194658
Name:OPEL, ANDREA (LCSW-C, LICSW)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:OPEL
Suffix:
Gender:
Credentials:LCSW-C, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12582 NATIONAL PIKE
Mailing Address - Street 2:
Mailing Address - City:GRANTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21536-3310
Mailing Address - Country:US
Mailing Address - Phone:301-381-0743
Mailing Address - Fax:301-313-5332
Practice Address - Street 1:12582 NATIONAL PIKE
Practice Address - Street 2:
Practice Address - City:GRANTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21536-3310
Practice Address - Country:US
Practice Address - Phone:301-381-0743
Practice Address - Fax:301-313-5332
Is Sole Proprietor?:No
Enumeration Date:2013-06-21
Last Update Date:2025-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34007521A1041C0700X
WVDP009459691041C0700X
MD247471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical