NPI 1649728221 · live from the CMS NPI Registry
John Joseph Antal, LICSW
Social Worker, Clinical in Wheeling, WV. National Provider Identifier 1649728221, active.
NPI record
| NPI | 1649728221 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 2101 Jacob St, Suite 501, Wheeling, WV 26003 |
| Practice phone | 304-234-8517 |
| Mailing address | 90 N 4th St, Martins Ferry, OH 43935 |
| Enumerated | September 13, 2016 |
| Last updated | December 20, 2021 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | I0008182SUPV (OH) |
| Social Worker, Clinical primary | 1041C0700X | DP00938486 (WV) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.