Provider Demographics
NPI:1164760708
Name:VALENTINE, MONICA (MSW, LCAS-A)
Entity Type:Individual
Prefix:MS
First Name:MONICA
Middle Name:
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:MSW, LCAS-A
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 HAUGHTON RD
Mailing Address - Street 2:
Mailing Address - City:EDENTON
Mailing Address - State:NC
Mailing Address - Zip Code:27932-9464
Mailing Address - Country:US
Mailing Address - Phone:252-312-5423
Mailing Address - Fax:
Practice Address - Street 1:435 HAUGHTON RD
Practice Address - Street 2:
Practice Address - City:EDENTON
Practice Address - State:NC
Practice Address - Zip Code:27932-9464
Practice Address - Country:US
Practice Address - Phone:252-312-5423
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-16
Last Update Date:2023-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0189421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical