Provider Demographics
NPI:1457302036
Name:VITIELLO, ANNE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:
Last Name:VITIELLO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:ANNA
Other - Middle Name:B
Other - Last Name:VITIELLO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:8 E MAYER DR
Mailing Address - Street 2:
Mailing Address - City:SUFFERN
Mailing Address - State:NY
Mailing Address - Zip Code:10901-3402
Mailing Address - Country:US
Mailing Address - Phone:201-265-8200
Mailing Address - Fax:201-265-0366
Practice Address - Street 1:610 VALLEY HEALTH PLZ
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-3607
Practice Address - Country:US
Practice Address - Phone:201-265-8200
Practice Address - Fax:201-265-0366
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2010-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY070024101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)