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General NPI Number Information
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NPI Number | 1336597269
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Entity Type | Individual
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Provider Name | KRYSTINA VINPA LCSW, LCADC
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Gender | Female
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Dates
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Enumeration Date | 06/01/2016
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 335 GEORGE STREET STE 4 #1118
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901
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Country | US
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Telephone | 732-250-0570
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Fax | 732-960-9734
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Provider Business Mailing Address
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Address Line | 335 GEORGE STREET STE 4 #1118
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City | NEW BRUNSWICK
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State | NJ
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Zip | 08901
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Country | US
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Telephone | 732-250-0570
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Fax | 732-960-9734
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05738900
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License Number State | NJ
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 258182
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 37LC00234400
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License Number State | NJ
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