Individual provider Active NPI

Christopher Ann Vallier, L..C.S.W., J.D.

  • Clinical Social Worker
  • Palmdale, CA
National Provider Identifier
1922142496
Registry record updated Mar 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS23478 Issued in CA
Practice address
190 Sierra CT Ste 319
Palmdale, CA 93550-7606
Phone
(310) 440-1015
Fax
(661) 273-0736
NPI assigned
Feb 17, 2007
Last updated
Mar 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 31, 2023

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 LCS23478 CA Primary

Addresses

Primary practice location

190 Sierra CT Ste 319
Palmdale, CA 93550-7606

Mailing address

190 Sierra CT Ste 319
Palmdale, CA 93550-7606
Phone (310) 440-1015

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20110512000787 CA Practitioner - Clinical Social Worker 4082890843 Practice locations: Palmdale, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

190 Sierra CT
Suite 319
Palmdale, CA 93550-7606
Phone (310) 440-1015

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Juris Doctor

State licenses

LicenseStateTypeSpecialty
LCS23478CAMDClinical Social Worker
23478CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Joanne Barge, PHD. Inc., a Psychology Corporation Past Accepting new patients
Susan L Holley PHD, a Psychological Corporation Past Accepting new patients

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1171670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1922142496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 SIERRA CT STE 319",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935507606",
            "telephone_number": "310-440-1015",
            "fax_number": "661-273-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 SIERRA CT STE 319",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935507606",
            "telephone_number": "310-440-1015",
            "fax_number": "661-273-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLIER",
        "first_name": "CHRISTOPHER",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "L..C.S.W., J.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-17",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS23478",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

Verify at the official NPI Registry.