Active NPI
Valerie Ann Riddle, LCSW
- Clinical Social Worker
- Fountain Valley, CA
National Provider Identifier
1033962907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW93561
- Practice address
- 18785 Brookhurst St
Fountain Valley, CA 92708-7300 - Phone
- (714) 975-1719
- NPI assigned
- Apr 9, 2024
- Last updated
- Apr 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW93561 | CA | Primary |
Addresses
Primary practice location
18785 Brookhurst St
Fountain Valley, CA 92708-7300
Mailing address
9191 Guss Dr Apt Suite
Huntington Beach, CA 92646-4604
Phone (919) 961-0427
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW93561 | CA | MD | Clinical Social Worker |
Interoperability endpoints
- valerie.riddlelcsw.p76@direct.nautilus.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1033962907",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9191 GUSS DR APT SUITE",
"city": "HUNTINGTON BEACH",
"state": "CA",
"postal_code": "926464604",
"telephone_number": "919-961-0427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18785 BROOKHURST ST",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087300",
"telephone_number": "714-975-1719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDDLE",
"first_name": "VALERIE",
"middle_name": "ANN",
"name_prefix": "Miss",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-04-09",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCSW93561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.