Provider Demographics
NPI:1033442876
Name:VALENTE, DIANE M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:DIANE
Middle Name:M
Last Name:VALENTE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20-22 MADISON ST.
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07105
Mailing Address - Country:US
Mailing Address - Phone:917-520-8147
Mailing Address - Fax:
Practice Address - Street 1:20-22 MADISON ST
Practice Address - Street 2:APT 1
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07105-6325
Practice Address - Country:US
Practice Address - Phone:917-520-8147
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-09-11
Last Update Date:2019-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
R0818421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical