| Doctor Name: | MS. ANDREA R MOONEY |
| NPI Number: | 1730467952 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | LC14480 |
| Business Practice Address: | 343 Birch Point Rd Wiscasset, ME - 045784900 |
| Business Phone Number: | 2078826594 |
| Business Fax Number: | 2076872233 |
| Mailing Address: | 343 Birch Point Rd, WISCASSET |
| State: | ME |
| Postal Code: | 045784900 |
| Phone Number: | 2078826594 |
| Fax Number: | 2076872233 |
| NPI Enumeration Date: | 07/22/2011 |
| NPI Last Update Date: | 11/14/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LC14480 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |