Provider Demographics
NPI:1316974918
Name:MYERS, ANDREA KAY (LCSW, CAP)
Entity type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:KAY
Last Name:MYERS
Suffix:
Gender:F
Credentials:LCSW, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 SW 10TH ST
Mailing Address - Street 2:SUITE H
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33442-7690
Mailing Address - Country:US
Mailing Address - Phone:954-570-5572
Mailing Address - Fax:954-570-6207
Practice Address - Street 1:2100 SW 10TH ST
Practice Address - Street 2:SUITE H
Practice Address - City:DEERFIELD BEACH
Practice Address - State:FL
Practice Address - Zip Code:33442-7690
Practice Address - Country:US
Practice Address - Phone:954-570-5572
Practice Address - Fax:954-570-6207
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW5821101YA0400X, 101YM0800X, 104100000X, 1041C0700X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist