| Elodie Andrews, Lcsw, Llc | |
|
9378 Olive Blvd Ste 106 Olivette MO 63132-3222 | |
| (314) 933-6587 | |
| (888) 975-7670 |
| Full Name | Elodie Andrews, Lcsw, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9378 Olive Blvd Ste 106, Olivette, Missouri |
| Authorized Official Name and Position | Elodie Andrews (OWNER) |
| Authorized Official Contact | 3149336587 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elodie Andrews, Lcsw, Llc 9378 Olive Blvd Ste 106 Olivette MO 63132-3222 Ph: (314) 933-6587 | Elodie Andrews, Lcsw, Llc 9378 Olive Blvd Ste 106 Olivette MO 63132-3222 Ph: (314) 933-6587 |
| NPI Number | 1750783221 |
|---|---|
| Provider Enumeration Date | 09/16/2014 |
| Last Update Date | 05/27/2020 |
| Certification Date | 05/27/2020 |
| Medicare PECOS PAC ID | 9638390479 |
|---|---|
| Medicare Enrollment ID | O20141021001354 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750783221 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 2012028655 (Missouri) | Primary |
| Provider Name | Elodie A Andrews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184924276 PECOS PAC ID: 9032354717 Enrollment ID: I20130329000032 |
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