Provider Demographics
NPI:1992230650
Name:VITTORIA, DAVID (LCSW)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:
Last Name:VITTORIA
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9010 SW 137TH AVE
Mailing Address - Street 2:SUITE #238
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33186-1413
Mailing Address - Country:US
Mailing Address - Phone:305-423-9433
Mailing Address - Fax:305-503-9310
Practice Address - Street 1:9010 SW 137TH AVE
Practice Address - Street 2:SUITE #238
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33186-1413
Practice Address - Country:US
Practice Address - Phone:305-423-9433
Practice Address - Fax:305-503-9310
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-01
Last Update Date:2017-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW141581041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical