Provider Demographics
NPI:1730664103
Name:GASIOROWSKI, ANDREA JULIETTE (LISW, LCSW)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:JULIETTE
Last Name:GASIOROWSKI
Suffix:
Gender:F
Credentials:LISW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5392 DRUMCALLY LN APT A
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-6457
Mailing Address - Country:US
Mailing Address - Phone:248-462-1528
Mailing Address - Fax:
Practice Address - Street 1:5392 DRUMCALLY LN APT A
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-6457
Practice Address - Country:US
Practice Address - Phone:248-462-1528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-01
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.2405126104100000X
MI6801099986104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker