Todd Prentice Valentine, LCSW

Primary specialty

CounselorTaxonomy code 101Y00000X

License

CSW004833 Issued in GA

Practice address

2801 Clearview PL
Doraville, GA 30340-2116

Phone

(678) 805-5158

Fax

(770) 216-9609

NPI assigned

Aug 10, 2023

Sex

Male

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": "1691625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691625600000",
    "number": "1982387478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 CLEARVIEW PL",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303402116",
            "telephone_number": "678-805-5158",
            "fax_number": "770-216-9609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 CLEARVIEW PL",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303402116",
            "telephone_number": "678-805-5158",
            "fax_number": "770-216-9609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTINE",
        "first_name": "TODD",
        "middle_name": "PRENTICE",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-10",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "CSW004833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trinh K. Nguyen, D.D.S., P.C.
• Unique Healthcare
• Unique Healthcare Solitions Inc.
• USA Adult Daycare, LLC.
• Dale Richard Valentine, R.N.
• Lorna Liz Velez - Velez, MS
• Canzata Yvonne Walker
• Kemeng Wang, OD
• Xiao Wang
• Barry Werman

• Counselor in Doraville, GA
• Providers in Doraville, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.