Laurie Ann Valentine, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

003722 Issued in CT

Practice address

11 Covey Rd
Burlington, CT 06013-1736

Phone

(860) 940-4061

NPI assigned

Nov 30, 2011

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Nov 6, 2013.

{
    "created_epoch": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1881961167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 MAPLE HOLLOW RD",
            "city": "NEW HARTFORD",
            "state": "CT",
            "postal_code": "060573020",
            "telephone_number": "860-940-4061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 COVEY RD",
            "city": "BURLINGTON",
            "state": "CT",
            "postal_code": "060131736",
            "telephone_number": "860-940-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "LAURIE",
        "middle_name": "ANN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "003722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Therapeutic Counseling Center of Connecticut
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• Michael Tonucci, LPC-A, BCBA, LBA
• Tranquil Beginnings LLC
• Christine M Tully, PHARMD
• Danielle Wethered

• All providers in Burlington, CT
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.