Provider Demographics
NPI:1205024551
Name:WALDER, VALERIE (MSW, LSW)
Entity Type:Individual
Prefix:MISS
First Name:VALERIE
Middle Name:
Last Name:WALDER
Suffix:
Gender:F
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1490 E. MAIN ST.
Mailing Address - Street 2:ST. VINCENT FAMILY CENTERS
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43205
Mailing Address - Country:US
Mailing Address - Phone:614-252-0731
Mailing Address - Fax:
Practice Address - Street 1:1490 E. MAIN ST.
Practice Address - Street 2:ST. VINCENT FAMILY CENTERS
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43205
Practice Address - Country:US
Practice Address - Phone:614-252-0731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-11
Last Update Date:2010-10-15
Deactivation Date:2009-02-25
Deactivation Code:
Reactivation Date:2010-10-12
Provider Licenses
StateLicense IDTaxonomies
OHS - 0026447104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker