ANDREW MAURIZIO ANTONELLI (NPI# 1720542186) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720542186 |
| Entity Type | Individual |
| Full Name | ANDREW MAURIZIO ANTONELLI |
| Practice Address |
931 Westwood Dr Ste E Marrero LA 70072-2400 |
| Mailing Address |
3038 Saint Claude Ave New Orleans LA 70117-6641 |
| Practice Telephone | 5043408880 |
| Mailing Telephone | 4096216730 |
| Enumeration Date | 2019-01-29 |
| Last Update Date | 2019-01-29 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LA | Behavioral Health & Social Service Providers |
| Street Address |
931 WESTWOOD DR STE E |
| City | MARRERO |
| State | LA |
| Zip Code | 70072-2400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538539572 | Henry Tolliver IIi | Counselor | 931 Westwood Dr Ste E, Marrero, LA 70072-2400 | 2015-10-02 |
| 1548867229 | Chare' Narisse Leblanc | Case Manager/Care Coordinator | 931 Westwood Dr Ste E, Marrero, LA 70072-2400 | 2020-10-05 |
| 1154936631 | Jane Kalm | Case Manager/Care Coordinator | 931 Westwood Dr Ste E, Marrero, LA 70072-2400 | 2020-09-11 |
| 1053929026 | Jamila Ricketts | Counselor | 931 Westwood Dr Ste E, Marrero, LA 70072-2400 | 2020-07-16 |
| 1760034730 | Anastasia Frances Adams | Case Manager/Care Coordinator | 931 Westwood Dr Ste E, Marrero, LA 70072-2400 | 2019-07-10 |
| 1306339668 | Marquis J Nelson | Counselor | 931 Westwood Dr Ste E, Marrero, LA 70072-2400 | 2018-06-12 |
| 1033607775 | Michele Antoinette Berfect | Behavioral Analyst | 931 Westwood Dr Ste E, Marrero, LA 70072-2400 | 2018-04-27 |
| 1972002012 | Kimberly Ann Dixon | Counselor | 931 Westwood Dr Ste E, Marrero, LA 70072-2400 | 2018-02-05 |
| 1760990386 | Jarhonda Nicole Perkins | Social Worker | 931 Westwood Dr Ste E, Marrero, LA 70072-2400 | 2018-01-17 |
| 1992216634 | Michelle Nguyen | Counselor | 931 Westwood Dr Ste E, Marrero, LA 70072-2400 | 2017-10-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780232579 | Brittany Inez Young | Technician | 4465 Bay View Drive, Marrero, LA 70072 | 2019-08-27 |
| 1356829774 | Zachary Allen Runge Kleinpeter | Physician Assistant | 1111 Medical Center Blvd Ste S630, Marrero, LA 70072 | 2018-07-30 |
| 1689172611 | Derron White | Specialist | 2324 Barataria Blvd, Marrero, LA 70072 | 2018-01-24 |
| 1477064616 | Bone & Joint, LLC Physical Therapy | Physical Therapist | 4633 Wichers Dr., Marrero, LA 70072 | 2017-10-16 |
| 1477077410 | Darlene Jenkins | Case Manager/Care Coordinator | 7606 Westbank Expy Ste B, Marrero, LA 70072 | 2017-08-01 |
| 1871017186 | Tyra K Haynes | Non-emergency Medical Transport (VAN) | 536 Westwood Drive, Marrero, LA 70072 | 2017-07-28 |
| 1265961536 | Danika Kayelle Frank | Social Worker | 6189 Boutte St, Marrero, LA 70072 | 2017-06-08 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
| Find all providers in zip 70072 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790251395 | Tariska Marie Ellis | Counselor | 2645 Rue Jesann, Marrero, LA 70072-6341 | 2018-10-22 |
| 1992290282 | Mavis Mccall | Counselor | 1724 Jutland Dr, Marrero, LA 70072-4333 | 2018-06-28 |
| 1720577141 | Austin R Banks Jr. | Counselor | 14 Gladiola Ct, Marrero, LA 70072-2429 | 2018-05-02 |
| 1275033318 | Ester Nathaly Diaz | Counselor | 5144 Randolph St, Marrero, LA 70072-4925 | 2018-02-15 |
| 1528596673 | Monica Cheree Mayberry | Counselor | 931 Westwood Dr., Marrero, LA 70072 | 2017-06-01 |
| 1548798838 | Ranesha Turnipseed | Counselor | 932 Westwood Dr Ste E, Marrero, LA 70072-2447 | 2017-05-31 |
| 1972039246 | Brittney Marie Stewart | Counselor | 2721 Bayou Carencro Dr, Marrero, LA 70072-6571 | 2017-05-05 |
| 1710419197 | Sharla Black | Counselor | 2069 Paine Drive, Marrero, LA 70072 | 2017-04-03 |
| 1699207043 | Tango Austin | Counselor | 2573 Foliage Drive, Marrero, LA 70072 | 2017-04-03 |
| 1053851048 | Jasmine Hall | Counselor | 6217 West Bank Expressway, Marrero, LA 70072 | 2017-02-24 |
| Find all providers in MARRERO | ||||
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| 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.