Andrea J Valletta, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C005465 Issued in NC

Practice address

804 Salem Woods Dr Ste 202
Raleigh, NC 27615-3343

Phone

(919) 609-2564

Fax

(919) 930-8712

NPI assigned

Feb 19, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1203379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561334400000",
    "number": "1669640090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 SALEM WOODS DR STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153343",
            "telephone_number": "919-609-2564",
            "fax_number": "919-930-8712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "804 SALEM WOODS DR STE 202",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276153343",
            "telephone_number": "919-609-2564",
            "fax_number": "919-930-8712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLETTA",
        "first_name": "ANDREA",
        "middle_name": "J",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-02-19",
        "last_updated": "2019-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C005465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Makayla Valdez
• Shemeka Valencia
• Emmy Amelia Valentine, LCSWA, LCASA
• Michael Valentine, BEHAVIORAL TECHNICIA
• Samantha Nicole Valentine, PTA
• Celina Valletti, D.M.D.
• Aline Lima Van Belois, NP
• Tamsyn Van Biljon
• Christianna Van Dalsen
• Peter Bern Van Dyck, MD

• Clinical Social Worker in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.