Healthcare Provider Details

I. General information

NPI: 1295455715
Provider Name (Legal Business Name): CARLEY ANN VALENTINE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CARLEY ANN BRITTON

II. Dates (important events)

Enumeration Date: 09/02/2022
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 COURT ST STE 42
NORWICH NY
13815-1695
US

IV. Provider business mailing address

5 COURT ST STE 42
NORWICH NY
13815-1695
US

V. Phone/Fax

Practice location:
  • Phone: 607-337-1600
  • Fax:
Mailing address:
  • Phone: 607-337-1600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number103138-01
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: