Charlett L Vittatoe

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Practice address

69 Sherry LN
Prince Frederick, MD 20678-3231

Phone

(443) 968-8331

NPI assigned

Aug 24, 2021

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728864000000",
    "number": "1912674342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42518 ANNE CT",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206362345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 SHERRY LN",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206783231",
            "telephone_number": "443-968-8331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VITTATOE",
        "first_name": "CHARLETT",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dianna L Varner
• Luis Antonio Velazquez, CRNA
• Beth Valerie Vendemmia, M.A., CCC-A
• Jeffery Ryan Viken, MD
• Marco Viray
• Marziyeh Viverette, FNP-BC
• Krystal Dawn Waiters, BS, CSC-ADP
• Wal-Mart Stores East LP
• Walden Sierra
• Walden Sierra

• All providers in Prince Frederick, MD
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2024; 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.