Provider Demographics
NPI:1366704975
Name:VITALE, FRANCESCA ARIEL
Entity type:Individual
Prefix:MS
First Name:FRANCESCA
Middle Name:ARIEL
Last Name:VITALE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1666 MASSACHUSETTS AVE STE 10
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:MA
Mailing Address - Zip Code:02420-5313
Mailing Address - Country:US
Mailing Address - Phone:413-320-2159
Mailing Address - Fax:
Practice Address - Street 1:1666 MASSACHUSETTS AVE STE 10
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:MA
Practice Address - Zip Code:02420-5313
Practice Address - Country:US
Practice Address - Phone:413-320-2159
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-06-10
Last Update Date:2023-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1210371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical