David Vaccaro, MSW, LCSW

NPI 1548852437 · on the registry since 2021

Practice

Address: 1006 S Division St
Carterville, IL 62918
Phone: (618) 519-9200
Fax: (618) 985-3774
Organisation at this address: Laboratory Corporation Of America
Shawnee Health Service And Development Corp
Shawnee Health Service And Development Corp
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 16

Registry record

Primary taxonomy: 1041C0700X
1041C0700X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2022-09-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois