Provider Demographics
NPI:1447492392
Name:INAUEN, ANDREA (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:INAUEN
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14 SNOOZIN TREE LN
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-2237
Mailing Address - Country:US
Mailing Address - Phone:973-886-0941
Mailing Address - Fax:
Practice Address - Street 1:14 SNOOZIN TREE LN
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-2237
Practice Address - Country:US
Practice Address - Phone:973-886-0941
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-24
Last Update Date:2010-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052713001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical