Provider Demographics
NPI:1992995294
Name:REGO, ANDREA LESLIE (LICSW)
Entity type:Individual
Prefix:MRS
First Name:ANDREA
Middle Name:LESLIE
Last Name:REGO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:ANDREA
Other - Middle Name:LESLIE
Other - Last Name:SAWLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:2014 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02462-1699
Mailing Address - Country:US
Mailing Address - Phone:617-243-5497
Mailing Address - Fax:
Practice Address - Street 1:2014 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02462-1607
Practice Address - Country:US
Practice Address - Phone:617-243-5497
Practice Address - Fax:617-243-6099
Is Sole Proprietor?:No
Enumeration Date:2007-08-01
Last Update Date:2019-07-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical