Shaliyah Jones Vitale, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CW022462 Issued in PA

Practice address

PO Box 1083
Kingston, PA 18704-0083

Phone

(570) 285-5245

NPI assigned

Dec 16, 2018

Last updated

Apr 28, 2025By the provider in NPPES

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

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Grow Healthcare Group PA

  • Mental Health Counselor
  • Miami, FL
  • NPI 1245845932

  Clinical, PA

  Medicare reassignment NPD

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

{
    "created_epoch": "1544918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1760953970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 LIBERTY ST",
            "city": "MOUNTAIN TOP",
            "state": "PA",
            "postal_code": "187071101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PO BOX 1083",
            "city": "KINGSTON",
            "state": "PA",
            "postal_code": "187040083",
            "telephone_number": "570-285-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES VITALE",
        "first_name": "SHALIYAH",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-16",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW022462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Christopher Storti (Core Chiropractic Center)
• John W Rosencrans CRNP, PC
• Doreen John, PH.D
• Stacey Ann Johnson, PTA
• Judith Janeen Johnston, M.S.
• Jennifer Ann Jones
• Marjorie G Jones, C.R.N.A.
• Michael Richard Josefowicz Jr., OD
• Joseph J Szustak DO PC
• Vidette R Joseph, PTA

• Clinical Social Worker in Kingston, PA
• Providers in Kingston, PA by specialty
• Clinical Social Worker in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.