Provider Demographics
NPI:1770643827
Name:NEAPOLITAN, VICKIE M (MSW, LISW-S)
Entity Type:Individual
Prefix:
First Name:VICKIE
Middle Name:M
Last Name:NEAPOLITAN
Suffix:
Gender:F
Credentials:MSW, LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 N 61ST AVE
Mailing Address - Street 2:
Mailing Address - City:PENSACOLA
Mailing Address - State:FL
Mailing Address - Zip Code:32506-3463
Mailing Address - Country:US
Mailing Address - Phone:513-550-3274
Mailing Address - Fax:
Practice Address - Street 1:2101 N 61ST AVE
Practice Address - Street 2:
Practice Address - City:PENSACOLA
Practice Address - State:FL
Practice Address - Zip Code:32506-3463
Practice Address - Country:US
Practice Address - Phone:513-550-3274
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI00316171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000575873OtherANTHEM
OH000000575873OtherANTHEM BC/BS
OHSW31821Medicare PIN