Organization Active NPI

Regina E. Vitale LCSW P.C.

  • Social Worker
  • Farmingdale, NY
National Provider Identifier
1376175539
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
REGINA E. VITALE LCSW P.C.
Practice address
205 Oakview Ave
Farmingdale, NY 11735-3710
Phone
(917) 655-3509
NPI assigned
Feb 6, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Authorized official

Name
Regina E. Vitale-Mercado, LCSW-RNPI 1619120805
Title
Owner
Phone
(917) 655-3509

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 104100000X Primary

Addresses

Primary practice location

205 Oakview Ave
Farmingdale, NY 11735-3710

Mailing address

3864 Hollis LN
Seaford, NY 11783-2031
Phone (917) 655-3509

Other practice location 1

3864 Hollis Ln
Seaford, NY 11783-2031
Phone (917) 655-3509

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1580947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1580947200000",
    "number": "1376175539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3864 HOLLIS LN",
            "city": "SEAFORD",
            "state": "NY",
            "postal_code": "117832031",
            "telephone_number": "917-655-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 OAKVIEW AVE",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117353710",
            "telephone_number": "917-655-3509"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3864 Hollis Ln",
            "address_purpose": "LOCATION",
            "city": "Seaford",
            "state": "NY",
            "postal_code": "117832031",
            "country_code": "US",
            "telephone_number": "917-655-3509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REGINA E. VITALE LCSW P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-06",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A",
        "authorized_official_last_name": "VITALE-MERCADO",
        "authorized_official_first_name": "REGINA",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "917-655-3509",
        "authorized_official_credential": "LCSW-R"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmingdale, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.