National Provider Identifier Database

ANDREW G PRENDERGAST
Prevention Professional

Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.


Contact Information

ANDREW G PRENDERGAST
601 CLEVELAND AVE NW
CANTON, OH44702-1836
Phone: 330-455-0374
Fax: 330-453-6716
Website:
Specialty Taxonomy Code
* Prevention Professional 405300000X
Case Manager/Care Coordinator 171M00000X

* Indicates primary specialty

NPI Profile & details for ANDREW G PRENDERGAST

NPI Number 1104309335
Credentials
Entity Individual
Enumeration date 09/13/2018
Last updated 10/25/2019 - About 7 years ago
Sole proprietor1 No
Identifiers
  • OH License #: OCPSA.161356
Hospital affiliation n/a

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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