Provider Demographics
NPI:1093186991
Name:MCGUINNESS, VALERIE JANE (LCSW)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:JANE
Last Name:MCGUINNESS
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 1:1860 BARNETT SHOALS RD
Mailing Address - Street 2:ST 103 PMB 402
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30605-6811
Mailing Address - Country:US
Mailing Address - Phone:706-968-1766
Mailing Address - Fax:
Practice Address - Street 1:985A GAINES SCHOOL RD
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30605-3133
Practice Address - Country:US
Practice Address - Phone:706-621-7043
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-18
Last Update Date:2020-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GACSW0056261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical