Healthcare Provider Details

I. General information

NPI: 1689997231
Provider Name (Legal Business Name): VALERIE D. RAWLS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2010
Last Update Date: 11/18/2025
Certification Date: 11/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

596 ANDERSON AVE STE 305A
CLIFFSIDE PARK NJ
07010-1856
US

IV. Provider business mailing address

596 ANDERSON AVE STE 305A
CLIFFSIDE PARK NJ
07010-1856
US

V. Phone/Fax

Practice location:
  • Phone: 201-917-3048
  • Fax:
Mailing address:
  • Phone: 201-917-3048
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05312600
License Number StateNJ

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: