MEDICARE: KAREN VALTEAU-WILLIAMS 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
1	1041C0700X	Clinical Social Worker	3792	LA

General Provider Information

NPI Number	:	1952023368
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN VALTEAU-WILLIAMS LCSW

Provider Business Mailing Address
First Line	:	851 LAKE CAROLYN PKWY APT 420
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75039-4114
Country	:	US
Telephone Number	:	504-495-1666
Fax Number	:

Provider Business Practice Location Address
First Line	:	851 LAKE CAROLYN PKWY APT 420
Second Line	:
City	:	IRVING
State	:	TX
Zip	:	75039-4114
Country	:	US
Telephone Number	:	504-495-1666
Fax Number	:

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

Provider Enumeration Date	:	09/13/2022
Last Update Date	:	09/13/2022

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