Provider Demographics
NPI:1801159108
Name:SONE, ANDREW (LCSW)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:
Last Name:SONE
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:432 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:SPRING CITY
Mailing Address - State:PA
Mailing Address - Zip Code:19475-1306
Mailing Address - Country:US
Mailing Address - Phone:484-903-0392
Mailing Address - Fax:
Practice Address - Street 1:432 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:SPRING CITY
Practice Address - State:PA
Practice Address - Zip Code:19475-1306
Practice Address - Country:US
Practice Address - Phone:484-903-0392
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-21
Last Update Date:2012-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0173191041C0700X
FLSW108551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical