Brianne Antonas, MSW, LISW, CDCA

Individual provider Active NPI Clinical Social Worker · West Chester, OH

NPI 1154738896 · NPPES record last updated Jun 28, 2016

Key facts

NPI
1154738896
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
I.1600262 (OH)
Practice address
6942 Tylersville Rd
West Chester, OH 45069-1511
Phone
(513) 868-0055
NPI assigned
Jul 15, 2014
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1600262 OH Yes

Addresses

Primary practice location

6942 Tylersville Rd
West Chester, OH 45069-1511

Mailing address

6942 Tylersville Rd
West Chester, OH 45069-1511
Phone (513) 868-0055

Other providers in West Chester, OH

All providers in West Chester, OH · Clinical Social Worker in Ohio

Sources for this page

Verify at the official NPI Registry.