Provider Demographics
NPI:1144069907
Name:VALDEZ, YOLANDA J (LMSW)
Entity type:Individual
Prefix:
First Name:YOLANDA
Middle Name:J
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11939 JASMINE WAY
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78253-5648
Mailing Address - Country:US
Mailing Address - Phone:210-774-0852
Mailing Address - Fax:
Practice Address - Street 1:11939 JASMINE WAY
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78253-5648
Practice Address - Country:US
Practice Address - Phone:210-774-0852
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111003104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker