Doctor Name: | MR. FRANK JOSEPH VANGELI |
NPI Number: | 1063567360 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICSW |
License Number: | 105897 |
Business Practice Address: | 12 Hemlock Park Dr Groton, MA - 014501450 |
Business Phone Number: | 9784482872 |
Business Fax Number: | 9784490182 |
Mailing Address: | 12 Hemlock Park Dr, GROTON |
State: | MA |
Postal Code: | 014501450 |
Phone Number: | 9784482872 |
Fax Number: | 9784490182 |
NPI Enumeration Date: | 01/24/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 105897 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |