MEDICARE: VALERIE MIDDLEBROOKS LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LC302806	DC
2	1041S0200X	School Social Worker	LC302806	DC

General Provider Information

NPI Number	:	1952739807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE MIDDLEBROOKS LICSW

Provider Business Mailing Address
First Line	:	7054 EASTERN AVE NW APT 202
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20012-2042
Country	:	US
Telephone Number	:	240-314-9322
Fax Number	:

Provider Business Practice Location Address
First Line	:	1001 MONROE ST NE
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20017-1761
Country	:	US
Telephone Number	:	202-281-3600
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/30/2013
Last Update Date	:	11/06/2024

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Directions to “ VALERIE MIDDLEBROOKS LICSW” Practice Location

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