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Contact Information

JACKILYN ANDREW, LCSW
1400 BELLINGER ST
EAU CLAIRE, WI54703
 Phone: 715-838-5222
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for JACKILYN ANDREW · (Female)

NPI # 1588980403
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 04/16/2010
Last updated 08/11/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 34005989
  • WI License # 7664
Hospital affiliation(s)
  • MAYO CLINIC HEALTH SYSTEM EAU CLAIRE HOSPITAL - (Acute Care)
    1221 WHIPPLE ST
    EAU CLAIRE, WI 54703
  • MAYO CLINIC HEALTH SYSTEM- CHIPPEWA VALLEY INC - (Critical Access)
    1501 THOMPSON ST
    BLOOMER, WI 54724
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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