MEDICARE: KATHARINE ANGELA VALENTE LCSW-C

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
1	1041C0700X	Clinical Social Worker	16659	MD

Other Identifiers

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

General Provider Information

NPI Number	:	1710286638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHARINE ANGELA VALENTE LCSW-C

Provider Business Mailing Address
First Line	:	PO BOX 3826
Second Line	:
City	:	FREDERICK
State	:	MD
Zip	:	21705-3826
Country	:	US
Telephone Number	:	301-662-0099
Fax Number	:	301-695-2716

Provider Business Practice Location Address
First Line	:	9030 RTE 108
Second Line	:	SUITE A
City	:	COLUMBIA
State	:	MD
Zip	:	21045-1990
Country	:	US
Telephone Number	:	410-740-1901
Fax Number	:	410-740-2503

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2011
Last Update Date	:	03/10/2014

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