Provider Demographics
NPI:1417962879
Name:VARENNE, SYLVIE MARIE (LISW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:SYLVIE
Middle Name:MARIE
Last Name:VARENNE
Suffix:
Gender:F
Credentials:LISW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:442 RICHMOND PL NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87106-2151
Mailing Address - Country:US
Mailing Address - Phone:505-256-2588
Mailing Address - Fax:505-256-5153
Practice Address - Street 1:442 RICHMOND PL NE
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87106-2151
Practice Address - Country:US
Practice Address - Phone:505-256-2588
Practice Address - Fax:505-256-5153
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMI-36011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical