Individual provider Active NPI

Quanique Lee Valera, LCSW

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1639409451
Registry record updated Apr 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW 10809 Issued in FL
Practice address
801 N Magnolia Ave Ste 402
Orlando, FL 32803-3844
Phone
(321) 800-2874
NPI assigned
Dec 29, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW 10809 FL Primary

Addresses

Primary practice location

801 N Magnolia Ave Ste 402
Orlando, FL 32803-3844

Mailing address

801 N Magnolia Ave Ste 402
Orlando, FL 32803-3844
Phone (321) 800-2874

Other practice location 1

601 W Michigan St
Orlando, FL 32805-6203
Phone (407) 317-7430

Other names 1

  • Quanique Shantel Lee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150724011423 FL Practitioner - Clinical Social Worker 5991018525 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW 10809FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Talk Sex With Me PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

397 Wekiva Springs Rd
Ste 205
Longwood, FL 32779
Phone (407) 405-3257

300 N Ronald Reagan Blvd
Ste 301
Longwood, FL 32750
Phone (407) 405-3257

Networks

  • Freedom Health HMO Network

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1262044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1639409451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 N MAGNOLIA AVE STE 402",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033844",
            "telephone_number": "321-800-2874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 N MAGNOLIA AVE STE 402",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033844",
            "telephone_number": "321-800-2874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 W Michigan St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328056203",
            "country_code": "US",
            "telephone_number": "407-317-7430",
            "fax_number": "407-540-1924",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALERA",
        "first_name": "QUANIQUE",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-29",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW 10809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "QUANIQUE",
            "last_name": "LEE",
            "middle_name": "SHANTEL",
            "credential": "QUANIQUE LEE TALONE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.