Provider Demographics
NPI:1295199644
Name:VALPATIC, LYNNEA LEANN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:LYNNEA
Middle Name:LEANN
Last Name:VALPATIC
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 1:6081S.E. LANDING WAY
Mailing Address - Street 2:APT. 14
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34997
Mailing Address - Country:US
Mailing Address - Phone:772-485-7075
Mailing Address - Fax:
Practice Address - Street 1:6081 SE LANDING WAY
Practice Address - Street 2:#14
Practice Address - City:STUART
Practice Address - State:FL
Practice Address - Zip Code:34997-1824
Practice Address - Country:US
Practice Address - Phone:772-485-7075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-12
Last Update Date:2016-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW55631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical