Provider Demographics
NPI:1235434648
Name:VALERI, REBECA (LICSW)
Entity Type:Individual
Prefix:
First Name:REBECA
Middle Name:
Last Name:VALERI
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 RAINIER AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98144-4606
Mailing Address - Country:US
Mailing Address - Phone:206-826-3050
Mailing Address - Fax:866-451-0126
Practice Address - Street 1:1900 RAINIER AVE S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98144-4606
Practice Address - Country:US
Practice Address - Phone:206-826-3050
Practice Address - Fax:866-451-0126
Is Sole Proprietor?:No
Enumeration Date:2011-01-14
Last Update Date:2011-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW 601688051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical