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NPI Code Detail

MEDICARE: MRS. BRITTANY MARIE VITTOR LICSW

MEDICARE: MRS. BRITTANY MARIE VITTOR LICSW
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 Worker6671732ID
21041C0700XClinical Social Worker09931154CO
31041C0700XClinical Social Worker5979CAL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
15979COTHERALBOARD OF SOCIAL WORK EXAMINERS
26671732OTHERIDBOARD OF SOCIAL WORK EXAMINERS
309931154OTHERCOBOARD OF SOCIAL WORK EXAMINERS

General Provider Information

NPI Number : 1124595152
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. BRITTANY MARIE VITTOR LICSW
Provider Business Mailing Address
First Line : 101 SOTHEL CT
Second Line :
City : GREER
State : SC
Zip : 29651-2033
Country : US
Telephone Number : 334-717-5144
Fax Number :
Provider Business Practice Location Address
First Line : 2100 SOUTHBRIDGE PKWY STE 650
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35209-1317
Country : US
Telephone Number : 334-717-5144
Fax Number : 929-596-7897
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/29/2018
Last Update Date : 11/19/2024

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Directions to “ MRS. BRITTANY MARIE VITTOR LICSW” Practice Location

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