Elizabeth Jane Vallier-Booth, LLMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851099325 Issued in MI

Practice address

103 College Ave SE
Grand Rapids, MI 49503-5921

Phone

(616) 229-4815

NPI assigned

Mar 24, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Elizabeth Jane Vallier Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1648080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650499200000",
    "number": "1336899426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 944",
            "city": "ADA",
            "state": "MI",
            "postal_code": "493010944",
            "telephone_number": "616-550-8537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COLLEGE AVE SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495035921",
            "telephone_number": "616-229-4815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLIER-BOOTH",
        "first_name": "ELIZABETH",
        "middle_name": "JANE",
        "name_prefix": "Mrs.",
        "credential": "LLMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-03-24",
        "last_updated": "2022-04-21",
        "certification_date": "2022-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851099325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "VALLIER",
            "middle_name": "JANE",
            "prefix": "MISS",
            "credential": "LLMSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sara Elizabeth Vallee
• Skyler Valles
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• Deanna Marie Valley
• Whitney Olivia Valley
• Katelyn Van Allsburg, NP-C
• Tim Van Antwerp
• Karin Mayoga Van Ast, LLC
• Lonna Petronella Van Ast, P.A.
• Dillene Joanna Van Beek, BS

• Clinical Social Worker in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2022; 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.