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
Mailing address3251 Route 112, Building #9, Medford, NY 11763-1446

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