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

Jessica R Vitale

Individual provider Clinical Social Worker · NPI 1770479206

Jessica R Vitale is a Clinical Social Worker in Granger, Indiana. Qualified in 2006, 20 years ago. Practices as a sole proprietor. Licensed in Illinois and Indiana.

Years since qualifying
20
Licensed in
IL, IN
In the registry since
2025
Specialties on file
2

Practice location Address checks out

10441 Glen Lee Trl
Granger, IN 46530-9436
Phone: (574) 339-9432
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34012033A (IN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149.029417 (IL)

Record details

NPI number1770479206
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJune 12, 2025
Last updated in NPPESJune 12, 2025
Certification dateJune 12, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Accepts Medicare assignment Not indicated

Other providers in Granger