Provider Demographics
NPI:1750061313
Name:ANDREWS, AUSTIN ANTHONY (LCSW-A)
Entity type:Individual
Prefix:
First Name:AUSTIN
Middle Name:ANTHONY
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:LCSW-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 COLLINS DR APT G
Mailing Address - Street 2:
Mailing Address - City:LILLINGTON
Mailing Address - State:NC
Mailing Address - Zip Code:27546-6411
Mailing Address - Country:US
Mailing Address - Phone:803-447-5187
Mailing Address - Fax:
Practice Address - Street 1:1300 S MAIN ST
Practice Address - Street 2:
Practice Address - City:LILLINGTON
Practice Address - State:NC
Practice Address - Zip Code:27546-7492
Practice Address - Country:US
Practice Address - Phone:910-606-4199
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-19
Last Update Date:2025-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0199441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical