Provider Demographics
NPI:1255827333
Name:PAPILLON, VALERIE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:
Last Name:PAPILLON
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 1:140 RIDGE AVE APT 1E
Mailing Address - Street 2:
Mailing Address - City:EVANSTON
Mailing Address - State:IL
Mailing Address - Zip Code:60202-3803
Mailing Address - Country:US
Mailing Address - Phone:847-721-9127
Mailing Address - Fax:
Practice Address - Street 1:140 RIDGE AVE APT 1E
Practice Address - Street 2:
Practice Address - City:EVANSTON
Practice Address - State:IL
Practice Address - Zip Code:60202-3803
Practice Address - Country:US
Practice Address - Phone:847-721-9127
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-02
Last Update Date:2022-11-28
Deactivation Date:2019-12-20
Deactivation Code:
Reactivation Date:2022-11-28
Provider Licenses
StateLicense IDTaxonomies
IL1490194991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical