Andrina Lee Brantley, LCSWA
Social Worker, Clinical in Grand Forks, ND. Individual provider (NPI-1).
NPI number1104564293
StatusActive
Last updated in NPPESJan 26, 2026
Details
- NPI
- 1104564293
- Entity type
- Individual (NPI-1)
- Name
- Andrina Lee Brantley
- Credential
- LCSWA
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 26, 2022
- Certification date
- Jan 26, 2026
- Last updated
- Jan 26, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | C017280 | NC | Yes |
Practice location
3674 S Washington StGrand Forks, ND 58201-5766
Phone 701-205-3000 · Fax 701-732-2501
Mailing address
Po Box 5210Grand Forks, ND 58206-5210
Phone 701-205-3000 · Fax 701-732-2501
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