Provider Demographics
NPI:1699785998
Name:BISHOP, ANDREA JOY (LCSW)
Entity type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:JOY
Last Name:BISHOP
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:42 WINDING OAK DRIVE
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-8433
Mailing Address - Country:US
Mailing Address - Phone:828-687-9998
Mailing Address - Fax:828-687-9088
Practice Address - Street 1:15 LOOP RD
Practice Address - Street 2:SUITE 6
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-9224
Practice Address - Country:US
Practice Address - Phone:828-687-9998
Practice Address - Fax:828-687-9088
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0042981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6106011Medicaid
NC6106011Medicaid