Individual
ANDREA BUSICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
6501 4TH ST NW, LOS RANCHOS, NM 87107-5800
(505) 433-7561
Mailing address
11500 ROSEMONT AVE NE, ALBUQUERQUE, NM 87112-5643
(505) 573-1113
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
SWB-2022-0969
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2025-1261
NM
171M00000X
Case Manager/Care Coordinator
—
NM
Other
Enumeration date
04/10/2018
Last updated
03/03/2026
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