Provider Demographics
NPI:1386974947
Name:ASTERINO, BRANDI RENEE (LICSW)
Entity type:Individual
Prefix:
First Name:BRANDI
Middle Name:RENEE
Last Name:ASTERINO
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:181 MIDDLETOWN LOOP
Mailing Address - Street 2:
Mailing Address - City:FAIRMONT
Mailing Address - State:WV
Mailing Address - Zip Code:26554-8703
Mailing Address - Country:US
Mailing Address - Phone:304-367-9170
Mailing Address - Fax:
Practice Address - Street 1:181 MIDDLETOWN CIR
Practice Address - Street 2:
Practice Address - City:FAIRMONT
Practice Address - State:WV
Practice Address - Zip Code:26554-2015
Practice Address - Country:US
Practice Address - Phone:304-367-9170
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-01-05
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVDP009413461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical