National Provider Identifier
Astra Titus, MSW, JD
Astra Titus, MSW, JD is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Burdett, NY and a listed phone number of (607) 215-5422.
Profile Overview
- NPI
- 1366104556
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- October 06, 2021
- Last Updated
- October 06, 2021
Practice Location
- 4893 Nichols RD
- Burdett, NY 14818
Phone: (607) 215-5422
Mailing Address
- PO Box 50
- Hector, NY 14841-0050
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1366104556
- Entity Type
- Individual
- Last Name
- Titus
- First Name
- Astra
- Credential
- MSW, JD
- Mailing Street Address
- PO Box 50
- Mailing City
- Hector
- Mailing State
- NY
- Mailing ZIP Code
- 14841-0050
- Mailing Country
- US
- Mailing Phone
- (607) 215-5422
- Practice Street Address
- 4893 Nichols RD
- Practice City
- Burdett
- Practice State
- NY
- Practice ZIP Code
- 14818
- Practice Country
- US
- Practice Phone
- (607) 215-5422
- Enumeration Date
- October 06, 2021
- Last Updated
- October 06, 2021
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- September 22, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)