Individual
ANGELICA VALENTINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
8 BASHFORD ST, YONKERS, NY 10701-2743
(914) 345-2800
Mailing address
8 BASHFORD ST, YONKERS, NY 10701-2743
(914) 345-2800
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
081296
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00355940
AGENCY MEDICAID PROVIDER ID
NY
01
—
1285628552
AGENCY NPI#
NY
01
—
WVE061
AGENCY MEDICARE ID#
NY
Enumeration date
06/21/2010
Last updated
03/04/2020
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