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NPI Code Detail

MEDICARE: BRITTANY MICHELE VACCA MSW, LCSW

MEDICARE: BRITTANY MICHELE VACCA MSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker130313CA

General Provider Information

NPI Number : 1184286486
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRITTANY MICHELE VACCA MSW, LCSW
Provider Business Mailing Address
First Line : 2130 N VENTURA RD
Second Line :
City : OXNARD
State : CA
Zip : 93036-2246
Country : US
Telephone Number : 510-317-1444
Fax Number :
Provider Business Practice Location Address
First Line : 2130 N VENTURA RD
Second Line :
City : OXNARD
State : CA
Zip : 93036-2246
Country : US
Telephone Number : 510-317-1444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/08/2019
Last Update Date : 03/27/2026

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