Provider Demographics
NPI:1124595152
Name:VITTOR, BRITTANY MARIE (LICSW)
Entity type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:MARIE
Last Name:VITTOR
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:101 SOTHEL CT
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29651-2033
Mailing Address - Country:US
Mailing Address - Phone:334-717-5144
Mailing Address - Fax:
Practice Address - Street 1:2100 SOUTHBRIDGE PKWY STE 650
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35209-1317
Practice Address - Country:US
Practice Address - Phone:334-717-5144
Practice Address - Fax:929-596-7897
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-29
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID66717321041C0700X
CO099311541041C0700X
AL5979C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL5979COtherBOARD OF SOCIAL WORK EXAMINERS
ID6671732OtherBOARD OF SOCIAL WORK EXAMINERS
CO09931154OtherBOARD OF SOCIAL WORK EXAMINERS