Healthcare Provider Details

I. General information

NPI: 1215618129
Provider Name (Legal Business Name): CADENCE LIARA VALENTINE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/25/2023
Last Update Date: 07/25/2023
Certification Date: 07/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3055 WILSHIRE BLVD STE 360
LOS ANGELES CA
90010-1129
US

IV. Provider business mailing address

444 E TUJUNGA AVE APT 210
BURBANK CA
91501-3011
US

V. Phone/Fax

Practice location:
  • Phone: 323-993-2900
  • Fax:
Mailing address:
  • Phone: 909-484-8494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW116384
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: