Provider Demographics
NPI:1750413118
Name:SCARLATA, VANESSA ALEXANDRA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:VANESSA
Middle Name:ALEXANDRA
Last Name:SCARLATA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:VANESSA
Other - Middle Name:ALEXANDRA
Other - Last Name:LLETGET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:1798A BAY ROAD
Mailing Address - Street 2:
Mailing Address - City:EAST PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-5312
Mailing Address - Country:US
Mailing Address - Phone:650-617-7834
Mailing Address - Fax:650-321-8576
Practice Address - Street 1:1798A BAY ROAD
Practice Address - Street 2:
Practice Address - City:EAST PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-5312
Practice Address - Country:US
Practice Address - Phone:650-617-7834
Practice Address - Fax:650-321-8576
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2012-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA178391041C0700X
CALCS 259471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical