Provider Demographics
NPI:1942005814
Name:JOBES, ANDREA LYNN (LMSW)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:LYNN
Last Name:JOBES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4012 MAYFIELD CAVE TRL
Mailing Address - Street 2:
Mailing Address - City:ROUND ROCK
Mailing Address - State:TX
Mailing Address - Zip Code:78681-1105
Mailing Address - Country:US
Mailing Address - Phone:512-200-5975
Mailing Address - Fax:
Practice Address - Street 1:2631 GATTIS SCHOOL RD
Practice Address - Street 2:
Practice Address - City:ROUND ROCK
Practice Address - State:TX
Practice Address - Zip Code:78664-2821
Practice Address - Country:US
Practice Address - Phone:512-298-1324
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-02-15
Last Update Date:2025-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1144231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical