Provider Demographics
NPI:1598552382
Name:KINZIE, ANDREAS KEY (MSW, PLCSW)
Entity type:Individual
Prefix:
First Name:ANDREAS
Middle Name:KEY
Last Name:KINZIE
Suffix:
Gender:
Credentials:MSW, PLCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10208 GROVE DR
Mailing Address - Street 2:
Mailing Address - City:PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34668-3405
Mailing Address - Country:US
Mailing Address - Phone:727-389-5559
Mailing Address - Fax:
Practice Address - Street 1:10208 GROVE DR
Practice Address - Street 2:
Practice Address - City:PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34668-3405
Practice Address - Country:US
Practice Address - Phone:727-389-5559
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-23
Last Update Date:2025-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPSW1434101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health