Search › Indiana › 1041C0700X
Jermaine Anthony, LCSW,CRADC, DOT-SAP
NPI 1811435027 · on the registry since 2017 · sole proprietor
Practice
- Address
- 8892 Louisana Street, Suite D-2
Merrillville, IN 46410 - Phone
- (630) 677-0450
- Fax
- (314) 431-6420
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Also registered as
- 101YA0400X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2025-01-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana