Provider Demographics
NPI:1093936510
Name:DAYMOND, VALARIE M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:VALARIE
Middle Name:M
Last Name:DAYMOND
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 1:6904 CORAL REEF WAY
Mailing Address - Street 2:
Mailing Address - City:ARVERNE
Mailing Address - State:NY
Mailing Address - Zip Code:11692-2018
Mailing Address - Country:US
Mailing Address - Phone:917-945-5045
Mailing Address - Fax:
Practice Address - Street 1:444 SAINT MARKS PL
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10301-2434
Practice Address - Country:US
Practice Address - Phone:718-720-6727
Practice Address - Fax:718-720-0326
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2012-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY730541081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical