Provider Demographics
NPI:1992581953
Name:SINNOTT, ANDREA LYNN (LCSW)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:LYNN
Last Name:SINNOTT
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:148 1ST ST APT 1201
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07302-5879
Mailing Address - Country:US
Mailing Address - Phone:120-752-3071
Mailing Address - Fax:
Practice Address - Street 1:148 1ST ST APT 1201
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-5879
Practice Address - Country:US
Practice Address - Phone:120-752-3071
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-06
Last Update Date:2024-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0996401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical