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NPI Code Detail

MEDICARE: TERRI VALENCIA LCSW

MEDICARE: TERRI VALENCIA LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker1161KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023015161
Entity Type Code : Individual
Provider Name (Legal Business Name) : TERRI VALENCIA LCSW
Provider Business Mailing Address
First Line : 8206 HIGHVIEW CT
Second Line :
City : CRESTWOOD
State : KY
Zip : 40014-8105
Country : US
Telephone Number : 859-582-2666
Fax Number :
Provider Business Practice Location Address
First Line : 1043 BROOKLYN BLVD
Second Line :
City : BEREA
State : KY
Zip : 40403-1090
Country : US
Telephone Number : 502-262-2887
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/05/2005
Last Update Date : 10/29/2024

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Directions to “ TERRI VALENCIA LCSW” Practice Location

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