Provider Demographics
NPI:1205427853
Name:ROCCHETTI, BRANDI NICOLE (MSW)
Entity type:Individual
Prefix:MS
First Name:BRANDI
Middle Name:NICOLE
Last Name:ROCCHETTI
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MS
Other - First Name:BRANDI
Other - Middle Name:NICOLE
Other - Last Name:POOLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:COUNCIL OF THE SOUTHERN MOUNTAINS
Mailing Address - Street 2:148 MCDOWELL ST
Mailing Address - City:WELCH
Mailing Address - State:WV
Mailing Address - Zip Code:24801
Mailing Address - Country:US
Mailing Address - Phone:304-436-6800
Mailing Address - Fax:
Practice Address - Street 1:COUNCIL OF THE SOUTHERN MOUNTAINS
Practice Address - Street 2:148 MCDOWELL ST
Practice Address - City:WELCH
Practice Address - State:WV
Practice Address - Zip Code:24801
Practice Address - Country:US
Practice Address - Phone:304-436-6800
Practice Address - Fax:304-436-6803
Is Sole Proprietor?:No
Enumeration Date:2021-01-27
Last Update Date:2021-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator