National Provider Identifier

Janice Kirsten Vitale, LCSW

Janice Kirsten Vitale, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Corning, NY and a listed phone number of (607) 414-0640.

NPI 1417133935Corning, NYClinical Social Worker

Profile Overview

NPI
1417133935
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
January 15, 2008
Last Updated
March 10, 2020

Practice Location

  • 14 E Market St Ste 201
  • Corning, NY 14830-2681

Phone: (607) 414-0640

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1417133935
Entity Type
Individual
Last Name
Vitale
First Name
Janice
Middle Name
Kirsten
Credential
LCSW
Mailing Street Address
14 E Market St Ste 201
Mailing City
Corning
Mailing State
NY
Mailing ZIP Code
14830-2681
Mailing Country
US
Mailing Phone
(607) 414-0640
Practice Street Address
14 E Market St Ste 201
Practice City
Corning
Practice State
NY
Practice ZIP Code
14830-2681
Practice Country
US
Practice Phone
(607) 414-0640
Enumeration Date
January 15, 2008
Last Updated
March 10, 2020
Sex
Female
Sole Proprietor
Yes
Certification Date
March 10, 2020
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)
Other Identifiers
083117 (NY)