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

Andrea Iaconis, LCSW

Individual provider Social Worker · NPI 1831830298

Andrea Iaconis, LCSW is a Social Worker in San Jose, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

871 Enborg Ct
San Jose, CA 95128-2645
Phone: (800) 704-0900
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 78859 (CA)

Record details

NPI number1831830298
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 7, 2022
Last updated in NPPESJune 12, 2022
Certification dateJune 12, 2022

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