Individual provider Active NPI

Brandi Renee Asterino, LICSW

  • Clinical Social Worker
  • Fairmont, WV
National Provider Identifier
1386974947
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
DP00941346 Issued in WV
Practice address
181 Middletown Cir
Fairmont, WV 26554-2015
Phone
(304) 367-9170
NPI assigned
Jan 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X DP00941346 WV Primary

Addresses

Primary practice location

181 Middletown Cir
Fairmont, WV 26554-2015

Mailing address

181 Middletown Loop
Fairmont, WV 26554-8703
Phone (304) 367-9170

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101215000466 WV Practitioner - Clinical Social Worker 3476740531 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP00941346WVMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Manchin Clinic South, LLC CurrentSince Oct 19, 2010 Accepting new patients
John Manchin II & John Manchin III Past Accepting new patients

Locations

181 Middletown Cir
Fairmont, WV 26554
Phone (304) 367-9170

181 Middletown Loop
White Hall, WV 26554
Phone (304) 367-9170

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1386974947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 MIDDLETOWN LOOP",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265548703",
            "telephone_number": "304-367-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 MIDDLETOWN CIR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265542015",
            "telephone_number": "304-367-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTERINO",
        "first_name": "BRANDI",
        "middle_name": "RENEE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WV",
            "license": "DP00941346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

Verify at the official NPI Registry.