Andrew Bertell, LCSW-C
Social Worker, Clinical in Ashland, OR. Individual provider (NPI-1).
NPI number1194034769
StatusActive
Last updated in NPPESJul 10, 2025
Details
- NPI
- 1194034769
- Entity type
- Individual (NPI-1)
- Name
- Andrew Bertell
- Credential
- LCSW-C
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2010
- Certification date
- Jul 10, 2025
- Last updated
- Jul 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | L12108 | OR | Yes |
| 1041C0700X | Social Worker, Clinical | 19539 | MD | |
| 1041C0700X | Social Worker, Clinical | 149.015804 | IL |
Practice location
340 A St.Building One, Suite 203
Ashland, OR 97520-1200
Phone 443-240-8275
Mailing address
267 8th StAshland, OR 97520-2037
Phone 443-240-8275
Other practice locations
2900 Chestnut Ave
Baltimore, MD 21211-2706
Baltimore, MD 21211-2706
Phone 443-240-8276
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