Provider Demographics
NPI:1194540229
Name:ANDREW LEWANDOWSKI LICSW
Entity type:Organization
Organization Name:ANDREW LEWANDOWSKI LICSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:JAMES
Authorized Official - Last Name:LEWANDOWSKI
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW, MPH
Authorized Official - Phone:401-854-6706
Mailing Address - Street 1:215 JOLIET WAY
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15224-1920
Mailing Address - Country:US
Mailing Address - Phone:440-840-7430
Mailing Address - Fax:
Practice Address - Street 1:201 N GRAHAM ST
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15206-2891
Practice Address - Country:US
Practice Address - Phone:401-854-6706
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-22
Last Update Date:2024-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health