Provider Demographics
NPI:1093838518
Name:VALERIO, JULIET DIZON (LCSW)
Entity Type:Individual
Prefix:
First Name:JULIET
Middle Name:DIZON
Last Name:VALERIO
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 1:3801 3RD STREET
Mailing Address - Street 2:SUITE 400
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94124
Mailing Address - Country:US
Mailing Address - Phone:415-970-3814
Mailing Address - Fax:415-970-3813
Practice Address - Street 1:2712 MISSION ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-3104
Practice Address - Country:US
Practice Address - Phone:415-401-2750
Practice Address - Fax:415-401-2774
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2015-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW16650101Y00000X
CALCSW#273451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
8502OtherSFGH INTERNAL USE ONLY
8502OtherCBHS INTERNAL USE ONLY-COMMERCIAL NUMBER