Individual
ANDREA CHARIDEMOU RANDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
2441 31ST ST # 1141, ASTORIA, NY 11102-1140
(646) 902-4144
Mailing address
2441 31ST ST # 1141, ASTORIA, NY 11102-1140
(646) 902-4144
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
095539
NY
Other
Enumeration date
12/06/2018
Last updated
07/14/2025
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