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Ivelisse Vicente Licsw

Community/Behavioral Health in Chicopee, MA. Organization (NPI-2).

NPI number1982432324
StatusActive
Last updated in NPPESJul 25, 2024

Details

NPI
1982432324
Entity type
Organization (NPI-2)
Legal business name
Ivelisse Vicente Licsw
Organization subpart
No
Enumeration date
Jul 25, 2024
Certification date
Jul 22, 2024
Last updated
Jul 25, 2024

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

62 Leona Ave
Chicopee, MA 01013-3319

Phone 413-377-0677

Mailing address

Po Box 1086
Chicopee, MA 01021-1086

Phone 413-377-0677

Authorized official

Ivelisse Vicente
Psychotherapist
4133770677

Is something wrong?

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