Lore Kutsop Andrescavage, LICSW
Social Worker, Clinical in Paoli, PA. Individual provider (NPI-1).
NPI number1033272000
StatusActive
Last updated in NPPESOct 9, 2024
Details
- NPI
- 1033272000
- Entity type
- Individual (NPI-1)
- Name
- Ms. Lore Kutsop Andrescavage
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 19, 2006
- Certification date
- Oct 9, 2024
- Last updated
- Oct 9, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | CW025110 | PA | Yes |
| 1041C0700X | Social Worker, Clinical | 115048 | MA |
Practice location
33 Leopard RdPaoli, PA 19301-1518
Phone 508-233-2193
Mailing address
1 Winding WayMalvern, PA 19355-1718
Phone 215-896-1886
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