Provider Demographics
NPI:1417528704
Name:VIGNOLA, NOELLE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:NOELLE
Middle Name:
Last Name:VIGNOLA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11913 W LONG CIR
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-4652
Mailing Address - Country:US
Mailing Address - Phone:303-905-8903
Mailing Address - Fax:
Practice Address - Street 1:11913 W LONG CIR
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-4652
Practice Address - Country:US
Practice Address - Phone:303-905-8903
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COCSW.009923201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
COCSW.00992320OtherLCSW LICENSURE