ANDRE DORIAN IVY P-LCSW
NPI 1497989735
Social Worker - Clinical in Durham, NC

Active since May 14, 2009
508 FULTON ST, DURHAM, NC 27705(919) 286-0411(919) 416-5834 Get Directions Write a Review

NPPES record last updated: May 14, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andre Dorian Ivy P-lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDRE DORIAN IVY P-LCSW (NPI 1497989735) is an individual clinical provider in Durham, North Carolina, licensed in North Carolina (P005032) and active in the NPI registry since May 2009.

NPPES Registry Identity

NPI1497989735
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameANDRE DORIAN IVYCredential: P-LCSW
Location Address508 FULTON STDurham, NC 27705-3875
Mailing Address508 Fulton StDurham, NC 27705-3875 · (919) 286-0411 · Fax (919) 416-5834
Fax(919) 416-5834
Sole ProprietorYes
Enumeration DateMay 14, 2009
NPI 1497989735 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in NC · P005032
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
508 FULTON ST, Durham, NC 27705

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
508 FULTON ST, SOCIAL WORK SERVICE (122)
DURHAM, NC 27705
Social Worker (Clinical)
508 FULTON ST, SOCIAL WORK SERVICE
DURHAM, NC 27705
Dietitian, Registered
508 FULTON ST
DURHAM, NC 27705
Nurse Practitioner (Psychiatric/Mental Health)
508 FULTON ST
DURHAM, NC 27705
Registered Nurse
508 FULTON ST
DURHAM, NC 27705
Audiologist
508 FULTON ST, ASPS - 126
DURHAM, NC 27705
Internal Medicine (Gastroenterology)
508 FULTON ST
DURHAM, NC 27705
Internal Medicine (Infectious Disease)
508 FULTON ST, DURHAM VAMC
DURHAM, NC 27705

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andre Ivy's NPI number?

The NPI number for Andre Ivy is 1497989735. It was assigned to this individual provider in the NPPES registry on May 14, 2009.

Where is Andre Ivy located?

Andre Ivy practices at 508 Fulton St, Durham, NC 27705. The listed phone number is (919) 286-0411.

What is Andre Ivy's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Andre Ivy was last updated on May 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.