1750413118 NPI number — MRS. VANESSA ALEXANDRA SCARLATA LCSW

Table of content: MRS. VANESSA ALEXANDRA SCARLATA LCSW (NPI 1750413118)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1750413118 NPI number — MRS. VANESSA ALEXANDRA SCARLATA LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SCARLATA
Provider First Name:
VANESSA
Provider Middle Name:
ALEXANDRA
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
LLETGET
Provider Other First Name:
VANESSA
Provider Other Middle Name:
ALEXANDRA
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSW
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1750413118
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/07/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1798A BAY ROAD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
EAST PALO ALTO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94303-5312
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
650-617-7834
Provider Business Mailing Address Fax Number:
650-321-8576

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1798A BAY ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
EAST PALO ALTO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94303-5312
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
650-617-7834
Provider Business Practice Location Address Fax Number:
650-321-8576
Provider Enumeration Date:
03/12/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  17839 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: LCS 25947 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2025 www.npivalidator.com