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NPI Code Detail

MEDICARE: MRS. VANESSA ALEXANDRA SCARLATA LCSW

MEDICARE: MRS. VANESSA ALEXANDRA SCARLATA 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 Worker17839CA
21041C0700XClinical Social WorkerLCS 25947CA

General Provider Information

NPI Number : 1750413118
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. VANESSA ALEXANDRA SCARLATA LCSW
Provider Business Mailing Address
First Line : 1798A BAY ROAD
Second Line :
City : EAST PALO ALTO
State : CA
Zip : 94303-5312
Country : US
Telephone Number : 650-617-7834
Fax Number : 650-321-8576
Provider Business Practice Location Address
First Line : 1798A BAY ROAD
Second Line :
City : EAST PALO ALTO
State : CA
Zip : 94303-5312
Country : US
Telephone Number : 650-617-7834
Fax Number : 650-321-8576
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/12/2007
Last Update Date : 09/07/2012

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Directions to “ MRS. VANESSA ALEXANDRA SCARLATA LCSW” Practice Location

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