Individual
MRS. MEGAN VITALE
Active
Individual
MRS. MEGAN VITALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
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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