Maria Tereasa Valarezo, AM, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.019764 Issued in IL

Practice address

1538 W State Route 102
Bourbonnais, IL 60914-4352

Phone

(815) 214-9766

Fax

(815) 214-9766

NPI assigned

Oct 23, 2020

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603411200000",
    "number": "1780283309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1280 E EAGLE ST",
            "city": "KANKAKEE",
            "state": "IL",
            "postal_code": "609015418",
            "telephone_number": "815-386-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 W STATE ROUTE 102",
            "city": "BOURBONNAIS",
            "state": "IL",
            "postal_code": "609144352",
            "telephone_number": "815-214-9766",
            "fax_number": "815-214-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALAREZO",
        "first_name": "MARIA",
        "middle_name": "TEREASA",
        "credential": "AM, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-23",
        "last_updated": "2020-10-23",
        "certification_date": "2020-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.019764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Bourbonnais, IL
• Providers in Bourbonnais, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2020; 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.