Provider Demographics
NPI:1336428234
Name:VITTINI, JANIE (MA LMHC)
Entity type:Individual
Prefix:
First Name:JANIE
Middle Name:
Last Name:VITTINI
Suffix:
Gender:
Credentials:MA LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1964 1ST AVE APT 1U
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10029-6436
Mailing Address - Country:US
Mailing Address - Phone:917-400-7707
Mailing Address - Fax:
Practice Address - Street 1:1964 1ST AVE APT 1U
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10029-6436
Practice Address - Country:US
Practice Address - Phone:917-400-7707
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-09
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
NY015884101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No104100000XBehavioral Health & Social Service ProvidersSocial Worker