Healthcare Provider Details

I. General information

NPI: 1700457082
Provider Name (Legal Business Name): VALERIE SUE MOHRMAN LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2021
Last Update Date: 02/13/2025
Certification Date: 02/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5309 COMMONWEALTH CENTRE PKWY STE 401
MIDLOTHIAN VA
23112-2633
US

IV. Provider business mailing address

12804 TROON BAY DR
MIDLOTHIAN VA
23114-7108
US

V. Phone/Fax

Practice location:
  • Phone: 804-886-9115
  • Fax: 804-886-9188
Mailing address:
  • Phone: 804-396-9752
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904012997
License Number StateVA

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: