Provider Demographics
NPI:1962909614
Name:WORKING, ANDREW WAYNE (LSW)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:WAYNE
Last Name:WORKING
Suffix:
Gender:M
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5720 SIGNAL HILL CT STE A
Mailing Address - Street 2:
Mailing Address - City:MILFORD
Mailing Address - State:OH
Mailing Address - Zip Code:45150-1481
Mailing Address - Country:US
Mailing Address - Phone:952-693-5335
Mailing Address - Fax:
Practice Address - Street 1:5720 SIGNAL HILL CT STE A
Practice Address - Street 2:
Practice Address - City:MILFORD
Practice Address - State:OH
Practice Address - Zip Code:45150-1481
Practice Address - Country:US
Practice Address - Phone:952-693-5335
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-04-10
Last Update Date:2025-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.1451138104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker