National Provider Identifier
Andrew Thomas Davenport, LCSW
Andrew Thomas Davenport, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Van Etten, NY and a listed phone number of (607) 351-3661.
Profile Overview
- NPI
- 1164290847
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- December 13, 2023
- Last Updated
- June 09, 2025
Practice Location
- 32 Upper Front St Apt C
- Van Etten, NY 14889-9557
Phone: (607) 351-3661
Specialties
- Clinical Social Worker (1041C0700X)
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1164290847
- Entity Type
- Individual
- Last Name
- Davenport
- First Name
- Andrew
- Middle Name
- Thomas
- Name Prefix
- Mr.
- Credential
- LCSW
- Mailing Street Address
- 32 Upper Front St Apt C
- Mailing City
- Van Etten
- Mailing State
- NY
- Mailing ZIP Code
- 14889-9557
- Mailing Country
- US
- Mailing Phone
- (607) 351-3661
- Practice Street Address
- 32 Upper Front St Apt C
- Practice City
- Van Etten
- Practice State
- NY
- Practice ZIP Code
- 14889-9557
- Practice Country
- US
- Practice Phone
- (607) 351-3661
- Enumeration Date
- December 13, 2023
- Last Updated
- June 09, 2025
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- June 09, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X), Clinical Social Worker (1041C0700X)