Healthcare Provider Details

I. General information

NPI: 1982274932
Provider Name (Legal Business Name): KATHERINE VALENTI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2021
Last Update Date: 10/04/2022
Certification Date: 10/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

97 HILLTOP VILLAGE CENTER DR
EUREKA MO
63025-3922
US

IV. Provider business mailing address

97 HILLTOP VILLAGE CENTER DR
EUREKA MO
63025-3922
US

V. Phone/Fax

Practice location:
  • Phone: 314-374-1620
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: