Antonina Vitale, L.C.S.W.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904007245 Issued in VA

Practice address

4732 Longhill Rd
Suite 3202
Williamsburg, VA 23188-1584

Phone

(757) 758-6635

Fax

(757) 282-2546

NPI assigned

Nov 9, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in VA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2006

Medicare assignment

May accept Medicare assignment

Group practices

Vita Bella CounselingGroup PAC ID 4880958834, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Vita Bella Counseling

  • Clinical Social Worker
  • Williamsburg, VA
  • NPI 1558876268
  Medicare reassignment Care Compare group NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1174850325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4951 FENTON MILL RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231886923",
            "telephone_number": "757-758-6635",
            "fax_number": "757-282-2546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4732 LONGHILL RD",
            "address_2": "SUITE 3202",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881584",
            "telephone_number": "757-758-6635",
            "fax_number": "757-282-2546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17389 Parham Landing Ct Ste 10",
            "address_purpose": "LOCATION",
            "city": "West Point",
            "state": "VA",
            "postal_code": "231819488",
            "country_code": "US",
            "telephone_number": "757-758-6635",
            "fax_number": "757-282-2546",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VITALE",
        "first_name": "ANTONINA",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904007245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA PREMIER MEDICAID HMO",
            "identifier": "1497717615",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497717615",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "294721",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Virginia Pain Management Consultants PC
• Virginia United Methodist Homes of Williamsburg, Inc.
• Visionworks Inc
• Visiting Podiatry PLLC
• Vita Bella Counseling
• Elena T Viterbo-Noble, MD
• Nadezhda Vladagina, PSYD
• Irene Vlasidis
• Sandra Kuchar Voll, MS, NP, CNM
• Jessica T. Voltin, PT, DPT, CERT. MDT

• Clinical Social Worker in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.