Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Andre Dorian Ivy, P-LCSW

Individual provider Clinical Social Worker · NPI 1497989735

Andre Dorian Ivy, P-LCSW is a Clinical Social Worker in Durham, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2009

Practice location Address checks out

508 Fulton St
Durham, NC 27705-3875
Phone: (919) 286-0411
Fax: (919) 416-5834
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence P005032 (NC)

Record details

NPI number1497989735
Entity typeIndividual (Type 1)
GenderMale
Credentials P-LCSW
Sole proprietorYes
NPI enumeratedMay 14, 2009
Last updated in NPPESMay 14, 2009

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