NPI 1144028002 · live from the CMS NPI Registry
Amanda Antenucci Counseling LLC
Social Worker, Clinical in Portland, OR. National Provider Identifier 1144028002, active.
NPI record
| NPI | 1144028002 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 8414 Sw Barbur Blvd Ste 203, Portland, OR 97219 |
| Practice phone | 503-893-5628 |
| Enumerated | March 6, 2025 |
| Last updated | March 22, 2025 |
| Authorized official | Amanda Antenucci, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.