Individual
MRS. MEGAN VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
21 MUNICIPAL DR, ARNOLD, MO 63010-1012
(636) 296-6206
Mailing address
227 MAIN ST, FESTUS, MO 63028-1952
(636) 931-2700
(636) 931-5304
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2001000521
MO
171M00000X
Case Manager/Care Coordinator
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001932396
DEPARTMENT OF SOCIAL SERV
MO
01
—
177040
BLUE CROSS BLUE SHIELD
MO
05
—
495835209
—
MO
Enumeration date
05/19/2006
Last updated
06/06/2023
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