Healthcare Provider Details

I. General information

NPI: 1710286638
Provider Name (Legal Business Name): KATHARINE ANGELA VALENTE LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/17/2011
Last Update Date: 03/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9030 RTE 108 SUITE A
COLUMBIA MD
21045-1990
US

IV. Provider business mailing address

PO BOX 3826
FREDERICK MD
21705-3826
US

V. Phone/Fax

Practice location:
  • Phone: 410-740-1901
  • Fax: 410-740-2503
Mailing address:
  • Phone: 301-662-0099
  • Fax: 301-695-2716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16659
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: