Healthcare Provider Details

I. General information

NPI: 1619047883
Provider Name (Legal Business Name): NANCY VECELLIO APKIN LMHK
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MS. NANCY ELLEN VECELLIO

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 10/21/2024
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

25 MARSHALL ST BRIEN CENTER
NORTH ADAMS MA
01247-2451
US

IV. Provider business mailing address

51 HATHAWAY ST
NORTH ADAMS MA
01247-2342
US

V. Phone/Fax

Practice location:
  • Phone: 413-664-4541
  • Fax: 413-662-3311
Mailing address:
  • Phone: 413-662-2268
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number3017680
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number970
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: