Active NPI
Jeffrey J Valerio, LCSW, LMFT
- Clinical Social Worker
- Anderson, IN
National Provider Identifier
1962437715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 34001416A
- Practice address
- 2210 Jackson St
Anderson, IN 46016-4363 - Phone
- (765) 683-3118
- NPI assigned
- Jul 11, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 34001416A | IN | Primary |
| Marriage & Family Therapist | 106H00000X | 35000721A | IN |
Addresses
Primary practice location
2210 Jackson St
Anderson, IN 46016-4363
Mailing address
8840 Commerce Park PL Ste E
Indianapolis, IN 46268-3129
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000327199 | Other | ANTHEM PIN NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34001416A | IN | MD | Clinical Social Worker |
| 35000721A | IN | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435017600000",
"number": "1962437715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8840 COMMERCE PARK PL STE E",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462683129"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2210 JACKSON ST",
"city": "ANDERSON",
"state": "IN",
"postal_code": "460164363",
"telephone_number": "765-683-3118"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALERIO",
"first_name": "JEFFREY",
"middle_name": "J",
"credential": "LCSW, LMFT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-11",
"last_updated": "2015-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "IN",
"license": "34001416A",
"primary": true
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "IN",
"license": "35000721A",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM PIN NUMBER",
"identifier": "000000327199",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Anderson, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.