Healthcare Provider Details

I. General information

NPI: 1407556939
Provider Name (Legal Business Name): VALERIE USIN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/03/2023
Last Update Date: 03/04/2023
Certification Date: 03/04/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11521 NW 88TH AVE
HIALEAH GARDENS FL
33018-1963
US

IV. Provider business mailing address

11521 NW 88TH AVE
HIALEAH GARDENS FL
33018-1963
US

V. Phone/Fax

Practice location:
  • Phone: 786-281-9811
  • Fax:
Mailing address:
  • Phone: 786-281-9811
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSW20945
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: