Provider Demographics
NPI:1043785413
Name:VALENTE, MEGAN (LCSW)
Entity Type:Individual
Prefix:
First Name:MEGAN
Middle Name:
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 1:1156 NORTH RD
Mailing Address - Street 2:
Mailing Address - City:PARSONSFIELD
Mailing Address - State:ME
Mailing Address - Zip Code:04047-6435
Mailing Address - Country:US
Mailing Address - Phone:207-613-6440
Mailing Address - Fax:
Practice Address - Street 1:26 SOKOKIS AVENUE
Practice Address - Street 2:SUITE 4
Practice Address - City:LIMERICK
Practice Address - State:ME
Practice Address - Zip Code:04048
Practice Address - Country:US
Practice Address - Phone:207-613-6440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-11
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC174611041C0700X
MELC194331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical