Healthcare Provider Details

I. General information

NPI: 1386794691
Provider Name (Legal Business Name): CAROL R. VALENTI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 06/09/2026
Certification Date: 06/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

750 W BROADWAY APT 5U
LONG BEACH NY
11561-2862
US

IV. Provider business mailing address

750 W BROADWAY APT 5U
LONG BEACH NY
11561-2862
US

V. Phone/Fax

Practice location:
  • Phone: 917-696-0933
  • Fax: 516-431-1408
Mailing address:
  • Phone: 917-696-0933
  • Fax: 516-431-1408

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberR032515-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: