MEDICARE: ARIANA ATHANASE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	1-69771-1B	VI

General Provider Information

NPI Number	:	1891659116
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARIANA ATHANASE

Provider Business Mailing Address
First Line	:	5330 YACHT HAVEN GRANDE BLDG J
Second Line	:
City	:	ST THOMAS
State	:	VI
Zip	:	00802-5028
Country	:	US
Telephone Number	:	340-202-0392
Fax Number	:

Provider Business Practice Location Address
First Line	:	5330 YACHT HAVEN GRANDE BLDG J
Second Line	:
City	:	ST THOMAS
State	:	VI
Zip	:	00802-5028
Country	:	US
Telephone Number	:	340-202-0392
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/11/2025
Last Update Date	:	12/11/2025

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