Individual
ANDREA DE OTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
10 PEARL ST FL 2, PORT CHESTER, NY 10573-4611
(914) 265-2762
Mailing address
100 MELROSE AVE STE 103, GREENWICH, CT 06830-6277
(203) 970-4738
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
087417
NY
1041C0700X
Clinical Social Worker
58.010658
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
84-1863222
—
CT
Enumeration date
09/30/2011
Last updated
06/06/2025
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