Individual provider Active NPI

Valerie Marie Galletta, LMSW

  • Mental Health Counselor
  • Center Moriches, NY
National Provider Identifier
1043724073
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
102431-1 Issued in NY
Practice address
408 Main St Ste 3
Center Moriches, NY 11934-3523
Phone
(631) 874-0185
Fax
(631) 909-3558
NPI assigned
Nov 29, 2017
Last updated
Nov 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 102431-1 NY Primary

Addresses

Primary practice location

408 Main St Ste 3
Center Moriches, NY 11934-3523

Mailing address

347 S Country Rd
Brookhaven, NY 11719-9703
Phone (631) 905-8912

Other names 1

  • Ms. Valerie Marie Poole Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210511002987 NY Practitioner - Clinical Social Worker 7517376189 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102431-1NYMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Community Counseling & LCSW Services PC CurrentSince May 5, 2021 Accepting new patients
Qureshi Medical Services PLLC PastSince Dec 1, 2024 Accepting new patients

Locations

234 Montauk Hwy
Ctr Moriches, NY 11934
Phone (631) 874-0185

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1043724073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "347 S COUNTRY RD",
            "city": "BROOKHAVEN",
            "state": "NY",
            "postal_code": "117199703",
            "telephone_number": "631-905-8912",
            "fax_number": "631-772-6221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "408 MAIN ST STE 3",
            "city": "CENTER MORICHES",
            "state": "NY",
            "postal_code": "119343523",
            "telephone_number": "631-874-0185",
            "fax_number": "631-909-3558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLETTA",
        "first_name": "VALERIE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "102431-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "POOLE",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Center Moriches, NY

Sources for this page

Verify at the official NPI Registry.