Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JESSICA R VITALE
Active Sole ProprietorClinical Social Worker · GRANGER, IN
Registration Details
- NPI Number
- 1770479206
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jun 12, 2025 (0.90040134762516 yrs)
- Last Updated
- Jun 12, 2025
- Licenses
-
149.029417 (IL)34012033A (IN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
10441 GLEN LEE TRLGRANGER, IN, 465309436Browse IN providers · Browse ZIP 46530
- Phone
- 5743399432
- Primary Specialty
-
Clinical Social Worker
1041C0700X
- Additional Specialty
- Clinical Social Worker
Other Clinical Social Worker Providers in GRANGER, IN
| Name | Credential | NPI |
|---|---|---|
| MRS. MARCIA A KOELNDORFER | LCSW | 1215926142 |
| MRS. SANDRA LEE LOVELY | LCSW | 1831214105 |
| KELLI LO | LSW | 1750501862 |
| MR. OLIVER JAMES DAVIS JR. | MSW, LCSW, LMSW | 1962727305 |
| MR. BRUCE JORAY | LCSW | 1679017834 |
| ANNA K DETLEFSEN | LCSW | 1740834324 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.