Individual
ANDREA WANG-CASTANEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
5 GRACE CHURCH ST, PORT CHESTER, NY 10573-4911
(914) 937-8899
Mailing address
16 BROOK RD, PORT CHESTER, NY 10573-3147
(914) 648-0426
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
094288-01
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103056
—
NY
Enumeration date
02/17/2021
Last updated
11/08/2023
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