Provider Demographics
NPI:1568681757
Name:LOZOUSKI, ANDIE J (LCSW-C)
Entity type:Individual
Prefix:
First Name:ANDIE
Middle Name:J
Last Name:LOZOUSKI
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:J
Other - Last Name:LOZOUSKI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:1 BURNT WOODS CT
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20874-5904
Mailing Address - Country:US
Mailing Address - Phone:301-775-5971
Mailing Address - Fax:
Practice Address - Street 1:1 BURNT WOODS CT
Practice Address - Street 2:
Practice Address - City:GERMANTOWN
Practice Address - State:MD
Practice Address - Zip Code:20874-5904
Practice Address - Country:US
Practice Address - Phone:301-775-5971
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-25
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD157391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical