Provider Demographics
NPI:1548573397
Name:BARBARA VITTORIA, LCSW, P.A.
Entity Type:Organization
Organization Name:BARBARA VITTORIA, LCSW, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PSYCHOTHERAPIST
Authorized Official - Prefix:MS
Authorized Official - First Name:BARBARA
Authorized Official - Middle Name:ELIZABETH
Authorized Official - Last Name:VITTORIA
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW
Authorized Official - Phone:305-248-7190
Mailing Address - Street 1:100 NE 15TH ST
Mailing Address - Street 2:#103
Mailing Address - City:HOMESTEAD
Mailing Address - State:FL
Mailing Address - Zip Code:33030
Mailing Address - Country:US
Mailing Address - Phone:305-248-7190
Mailing Address - Fax:305-248-6690
Practice Address - Street 1:100 NE 15TH ST
Practice Address - Street 2:#103
Practice Address - City:HOMESTEAD
Practice Address - State:FL
Practice Address - Zip Code:33030
Practice Address - Country:US
Practice Address - Phone:305-248-7190
Practice Address - Fax:305-248-6690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-22
Last Update Date:2010-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW00015571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty