Andrea Wiley, LCSW, MAC is a
Social Worker - Clinical based in Richmond, Virginia. Andrea Wiley is licensed to practice in Virginia (license number 0904000829) and her current practice location is
312 Granite Ave Ofc 2, Richmond, Virginia. She can be reached at her office (for appointments etc.) via phone at
(336) 392-9523.
NPI number for Andrea Wiley is 1588190128 and her current mailing address is Po Box 16089, Richmond, Virginia. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1588190128.
Healthcare Provider's Profile
| Full Name | Andrea Wiley |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 312 Granite Ave Ofc 2, Richmond, Virginia |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1588190128
- Provider Enumeration Date: 05/02/2017
- Last Update Date: 05/02/2017
Medical Identifiers
Medical identifiers for Andrea Wiley such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1588190128 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 510113 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 0904000829 (Virginia) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrea Wiley is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Andrea Wiley, LCSW, MAC
Po Box 16089,
Richmond, VA 23222-0289
Ph: (336) 392-9523 | Andrea Wiley, LCSW, MAC
312 Granite Ave Ofc 2,
Richmond, VA 23226-2144
Ph: (336) 392-9523 |
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