MICHAEL ANTONUCCI (NPI# 1295119485) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295119485 |
| Entity Type | Individual |
| Full Name | MICHAEL ANTONUCCI |
| Credential | LGSW |
| Practice Address |
13310 A Brook Lane Hagerstown MD 21742-1945 |
| Mailing Address |
13121 Brook Lane Hagerstown MD 21742-1945 |
| Practice Telephone | 3017330330 |
| Practice Fax Number | 3017334038 |
| Mailing Telephone | 3017330330 |
| Mailing Fax Number | 3017334038 |
| Enumeration Date | 2015-07-17 |
| Last Update Date | 2015-07-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 17462 | MD | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588734289 | Michael Ugo Antonucci | Radiology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2006-11-09 |
| Street Address |
13310 A BROOK LANE |
| City | HAGERSTOWN |
| State | MD |
| Zip Code | 21742-1945 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154950251 | Caleb Lougheed | Student in an Organized Health Care Education/Training Program | Meritus Family Medicine Residency Program, 11110 Medical Campus Road, Suite 200, Hagerstown, MD 21742 | 2020-04-02 |
| 1770054900 | Katherine E Spann | Physician Assistant | Meritus Medical Center, 11116 Medical Campus Road, Hagerstown, MD 21742 | 2018-12-16 |
| 1760988950 | Kelli Jones | Nurse Anesthetist, Certified Registered | 11116 Medical Center, Hagerstown, MD 21742 | 2018-04-05 |
| 1740706324 | Michael E. Anderson, Dds, PC | Dentist | 18709 Crestwood Drive, Hagerstown, MD 21742 | 2017-08-16 |
| 1407387384 | Cynthia Brendle | Physical Therapy Assistant | 19800 Tranquility Circle, Robinwood Campus, Hagerstown, MD 21742 | 2017-03-23 |
| 1326411877 | Structural Elements, LLC | Acupuncturist | 13214 Fountainhead Plaza, Hagerstown, MD 21742 | 2015-11-05 |
| 1386057396 | Ma Pamela Borden | Occupational Therapist | 506 Lynnehaven Drive, Apartment G, Hagerstown, MD 21742 | 2014-06-06 |
| 1275971251 | Arti Babubhai Patel | Denturist | 13133 Gentry Drive, Hagerstown, MD 21742 | 2013-06-12 |
| 1063859551 | Premise Health of Maryland Medical P C | Clinic/Center | 13403 Volvo Way, Medical Suite, Hagerstown, MD 21742 | 2013-05-24 |
| 1386938363 | Rocky Mountain Holdings LLC | Ambulance | 18539 Henson Blvd, Hagerstown, MD 21742 | 2011-06-07 |
| Find all providers in zip 21742 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205924602 | David Forrest Rutherford | Social Worker | 1180 Professional Court, The Mental Health Center of Western Maryland Inc, Hagerstown, MD 21740 | 2006-10-11 |
| 1851902415 | Jeremy Edward Baker | Social Worker | 44 N Potomac St, Hagerstown, MD 21740-4855 | 2020-08-16 |
| 1649805979 | Tayler Rowe | Social Worker | 5 Public Sq Ste 428, Hagerstown, MD 21740-7271 | 2020-03-06 |
| 1194367441 | Omela Francis | Social Worker | 6 Public Sq, Hagerstown, MD 21740-5511 | 2019-10-08 |
| 1598313561 | Carizma Williams | Social Worker | 322 E Antietam St Ste 101, Hagerstown, MD 21740-5736 | 2019-09-03 |
| 1497300487 | Karen Kays | Social Worker | 1180 Professional Ct, Hagerstown, MD 21740-5852 | 2019-08-06 |
| 1023663374 | Desirae Mehaffie | Social Worker | 1180 Professional Ct, Hagerstown, MD 21740-5852 | 2019-08-05 |
| 1548815889 | Krystal Holl | Social Worker | 1180 Professional Ct, Hagerstown, MD 21740-5852 | 2019-08-05 |
| 1790330025 | Tamara Warfield | Social Worker | 1180 Professional Ct, Hagerstown, MD 21740-5852 | 2019-08-05 |
| 1518512037 | Christian Rock | Social Worker | 18714 N Village, Hagerstown, MD 21742-2454 | 2019-08-02 |
| Find all providers in HAGERSTOWN | ||||
| City | HAGERSTOWN |
| Zip Code | 21742 |
Please comment or provide details below to improve the information on MICHAEL ANTONUCCI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.