Provider Demographics
NPI:1770079063
Name:VACCARO, NADIA (MSW)
Entity type:Individual
Prefix:
First Name:NADIA
Middle Name:
Last Name:VACCARO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2704 RIDGEFIELD CT
Mailing Address - Street 2:
Mailing Address - City:HELMETTA
Mailing Address - State:NJ
Mailing Address - Zip Code:08828-1153
Mailing Address - Country:US
Mailing Address - Phone:347-768-4511
Mailing Address - Fax:
Practice Address - Street 1:2704 RIDGEFIELD CT
Practice Address - Street 2:
Practice Address - City:HELMETTA
Practice Address - State:NJ
Practice Address - Zip Code:08828-1153
Practice Address - Country:US
Practice Address - Phone:347-768-4511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-10
Last Update Date:2022-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor