Individual provider · NPI-1
Vanessa R Albergo, LCSW
Social Worker, Clinical · Port St Lucie, FL
NPI number1205248994
StatusActive
Last updated in NPPESMar 20, 2024
Details
- NPI
- 1205248994
- Entity type
- Individual (NPI-1)
- Name
- Ms. Vanessa R Albergo
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 29, 2014
- Certification date
- Mar 18, 2024
- Last updated
- Mar 20, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SW16806 | FL | Yes |
| 101YM0800X | Counselor, Mental Health | – | – |
Practice location
11917 Sw Lyra DrivePort St Lucie, FL 34987
Phone 954-701-5827
Mailing address
11917 Sw Lyra DrPort St Lucie, FL 34987-6417
Phone 954-701-5827
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