Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kyle A Vatalaro, LCSW

Individual provider Social Worker · NPI 1962708032

Kyle A Vatalaro, LCSW is a Social Worker in Medford, New York. Licensed in New York. Registered with an NPI since 2011.

Licensed in
NY
In the registry since
2011
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

3251 Route 112 Bldg #9
Medford, NY 11763-1446
Phone: (631) 451-6007
Fax: (631) 297-8121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 074485 (NY)

Record details

NPI number1962708032
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedFebruary 7, 2011
Last updated in NPPESDecember 30, 2014

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