Jeffrey Antioho
Clinical Social Worker
4017 Highway 17
Murrells Inlet
, South Carolina 29576-5032
Jeffrey Antioho
Clinical Social Worker
4017 Highway 17
Murrells Inlet
, South Carolina 29576-5032
(843) 357-0217
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About
Features
Specialties
- Clinical Social Worker
Languages spoken
- English
Location
First Address
- Jeffrey Antioho
- 1108 Preston Pl
- Murrells Inlet, SC
- Zip : 29576-7573
- Phone : (843) 357-0217
Second Address
- Jeffrey Antioho
- 4017 Highway 17
- Murrells Inlet, SC
- Zip : 29576-5032
- Phone : (843) 685-9228
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1041C0700X | Clinical Social Worker | 10331 | SC |
National Provider Identifier
| NPI | 1003245234 |
|---|---|
| Provider Name | Jeffrey Antioho |
| First Address | Murrells Inlet, SC 29576-7573 |
| Second Address | Murrells Inlet, SC 29576-5032 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/11/2013 |
| Last Update Date | 07/11/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.