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

Mr. Andrew Daly, LICSW, SUDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1306373931

Mr. Andrew Daly, LICSW, SUDP is a Clinical Social Worker in Carlsborg, Washington. Qualified in 2017, 9 years ago. Practices with Brightside Medical PC, a 62-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California, Idaho, Montana and Oregon and 1 more.

Years since qualifying
9
Licensed in
CA, ID, MT, OR, WA
In the registry since
2017
Specialties on file
6
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

See every abbreviation used in this directory →

Practice location PO Box

The provider listed a PO Box rather than a street location, so this is not a walk-in address.

PO Box 1064
Carlsborg, WA 98324-1064
Phone: (253) 227-1498
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 LW61056238 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CP60416979 (WA)
Clinical Social Worker Taxonomy 1041C0700X · Licence BBH-LCSW-LIC-62608 (MT)
Clinical Social Worker Taxonomy 1041C0700X · Licence 114837 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence L13906 (OR)
Clinical Social Worker Taxonomy 1041C0700X · Licence LCSW-43240 (ID)

Record details

NPI number1306373931
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW , SUDP
Sole proprietorYes
NPI enumeratedMay 13, 2017
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Brightside Medical Pc — 62 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services