Vicari, Sally A

Vicari, Sally A is an individual health care provider with primary practice located at 333 Dexter Ter , Tonawanda NY 14150-4747. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Vicari, Sally A can be contacted via phone (716) 462-4355.

Contact Information

Primary practice address
333 Dexter Ter Tonawanda NY 14150-4747
Phone: (716) 462-4355
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 85817 New York
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 085817 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X 0873171 New York

Profile Details

NPI number 1316397862
LBN Legal business name Vicari, Sally A
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 15th, 2016
Last updated Sep 18th, 2018 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316397862 NPPES
New York MEDICAID 01465154

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