Individual provider Active NPI

Valene Vanessa Valerie, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
National Provider Identifier
1003135609
Registry record updated May 20, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
076795-1 Issued in NY
Practice address
135 Amersfort PL
Suite #3C
Brooklyn, NY 11210-2332
Phone
(917) 697-5393
Fax
(718) 859-6042
NPI assigned
May 20, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 20, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 076795-1 NY Primary
School Social Worker 1041S0200X 649550 NY

Addresses

Primary practice location

135 Amersfort PL
Suite #3C
Brooklyn, NY 11210-2332

Mailing address

PO Box 100951
Brooklyn, NY 11210-0951
Phone (917) 697-5393

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
076795-1NYMDClinical Social Worker
649550NYMDSchool Social Worker

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1274313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274313600000",
    "number": "1003135609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100951",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112100951",
            "telephone_number": "917-697-5393",
            "fax_number": "718-859-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 AMERSFORT PL",
            "address_2": "SUITE #3C",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112102332",
            "telephone_number": "917-697-5393",
            "fax_number": "718-859-6042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALERIE",
        "first_name": "VALENE",
        "middle_name": "VANESSA",
        "name_prefix": "Miss",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-05-20",
        "last_updated": "2010-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076795-1",
            "primary": true
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "649550",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.