Provider Demographics
NPI:1346265576
Name:STRAUSS CUNNINGHAM, VALERIE CATHERINE (LICSW)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:CATHERINE
Last Name:STRAUSS CUNNINGHAM
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MS
Other - First Name:VALERIE
Other - Middle Name:CATHERINE
Other - Last Name:STRAUSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:32481 LAKEVIEW DR
Mailing Address - Street 2:
Mailing Address - City:LAKE CITY
Mailing Address - State:MN
Mailing Address - Zip Code:55041-3283
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:117 E CENTER ST
Practice Address - Street 2:SUITE 2
Practice Address - City:ROCHESTER
Practice Address - State:MN
Practice Address - Zip Code:55904-3757
Practice Address - Country:US
Practice Address - Phone:507-287-2047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-12
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN78601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical