Active NPI
Charlene Dana Vitale, LMSW
- Social Worker
- Freehold, NJ
National Provider Identifier
1720409873
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 44SL05944500
- Practice address
- 20 Gibson PL
Suite 206
Freehold, NJ 07728-4838 - Phone
- (732) 483-4425
- Fax
- (732) 483-4427
- NPI assigned
- Dec 16, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 44SL05944500 | NJ | Primary |
Addresses
Primary practice location
20 Gibson PL
Suite 206
Freehold, NJ 07728-4838
Mailing address
5 Jockey CT
Marlboro, NJ 07746-1922
Phone (845) 283-4101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05944500 | NJ | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1387152000000",
"number": "1720409873",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 JOCKEY CT",
"city": "MARLBORO",
"state": "NJ",
"postal_code": "077461922",
"telephone_number": "845-283-4101",
"fax_number": "732-483-4427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 GIBSON PL",
"address_2": "SUITE 206",
"city": "FREEHOLD",
"state": "NJ",
"postal_code": "077284838",
"telephone_number": "732-483-4425",
"fax_number": "732-483-4427"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VITALE",
"first_name": "CHARLENE",
"middle_name": "DANA",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-16",
"last_updated": "2013-12-16",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "44SL05944500",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Freehold, NJ
- Virtual Colonoscopy Company LLC
- Vincent Michael Visioli, LCSW
- Vision Consultants of New Jersey, LLC
- Visiting Nurse Association of Central Jersey, Community Health Center, (Freehold Family Health Center)
- Vital Bus Transportation LLC
- Karla Vitug, APN
- Joseph Vizzoni, MD
- VKG Family Health Care LLC
- Mary Ann Voegeli, LPC LICENSED PROFESS
- Tucker Voelbel, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.