Provider Demographics
NPI:1013245802
Name:BARONE, BRANDY RENEE (LSW)
Entity Type:Individual
Prefix:MRS
First Name:BRANDY
Middle Name:RENEE
Last Name:BARONE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:298 TOWNSHIP ROAD 1080
Mailing Address - Street 2:
Mailing Address - City:POLK
Mailing Address - State:OH
Mailing Address - Zip Code:44866-9732
Mailing Address - Country:US
Mailing Address - Phone:419-869-7018
Mailing Address - Fax:
Practice Address - Street 1:2233 ROCKY LN
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:OH
Practice Address - Zip Code:44805-4701
Practice Address - Country:US
Practice Address - Phone:419-281-3716
Practice Address - Fax:419-281-4605
Is Sole Proprietor?:No
Enumeration Date:2009-12-07
Last Update Date:2011-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS09013871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical