Active NPIOrganization

Ivelisse Vicente Licsw

Community/Behavioral Health in Chicopee, Massachusetts

NPI Number1982432324
Practice location
62 Leona Ave, Chicopee, MA 01013-3319
Fax
—
Last updated
July 25, 2024

Ivelisse Vicente Licsw is a healthcare organization based in Chicopee, MA. Ivelisse Vicente Licsw practices in Chicopee, MA. The NPI Number for Ivelisse Vicente Licsw is 1982432324. The current practice location address for Ivelisse Vicente Licsw is 62 Leona Ave, Chicopee, MA 01013-3319 and can be reached out via phone at 413-377-0677.

Provider Profile Details

NPI Number
1982432324
Provider Name
Ivelisse Vicente Licsw
Provider Entity Type
Organization
Address
62 Leona Ave, Chicopee, MA 01013-3319
Phone Number
413-377-0677
Primary Taxonomy
Community/Behavioral Health · 251S00000X
Organization Subpart
No
Authorized Official
Ivelisse Vicente, LICSW · Psychotherapist · 413-377-0677
Provider Enumeration Date
July 25, 2024
Last Update Date
July 25, 2024
Certification Date
July 22, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
62 Leona Ave
Chicopee, MA 01013-3319
Zip
01013-3319
Phone Number
413-377-0677
Chicopee, MA 01013Get directions →

Provider Business Mailing Address Details

Address
Po Box 1086
Chicopee, MA 01021-1086
City
Chicopee
State
MA
Zip
01021-1086
Phone Number
413-377-0677

License Information

Taxonomy
Community/Behavioral Health · 251S00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ivelisse Vicente Licsw?

The NPI number of Ivelisse Vicente Licsw is 1982432324. It was assigned on July 25, 2024 and is currently active in the NPPES registry.

What is the specialty of Ivelisse Vicente Licsw?

Ivelisse Vicente Licsw is registered under the primary taxonomy Community/Behavioral Health (code 251S00000X).

Where does Ivelisse Vicente Licsw practice?

The practice location is 62 Leona Ave, Chicopee, MA 01013-3319. The office can be reached at 413-377-0677 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1982432324 directly on the NPPES registry website.

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