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 codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, ClinicalSW16806FLYes
101YM0800X Counselor, Mental Health––

Practice location

11917 Sw Lyra Drive
Port St Lucie, FL 34987

Phone 954-701-5827

Mailing address

11917 Sw Lyra Dr
Port St Lucie, FL 34987-6417

Phone 954-701-5827

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