Provider Demographics
NPI:1437282837
Name:VALCARCEL NAVARRO, LILLIAM J (CLINICAL SOCIAL WOLK)
Entity Type:Individual
Prefix:MRS
First Name:LILLIAM
Middle Name:J
Last Name:VALCARCEL NAVARRO
Suffix:
Gender:F
Credentials:CLINICAL SOCIAL WOLK
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Mailing Address - Street 1:COND. MAR DE ISLA VERDE APART. 3.G , 7185 ,CARR, 187
Mailing Address - Street 2:
Mailing Address - City:CAROLINA
Mailing Address - State:PR
Mailing Address - Zip Code:00097-7001
Mailing Address - Country:US
Mailing Address - Phone:787-598-0168
Mailing Address - Fax:787-791-2275
Practice Address - Street 1:7185 CARR 187 APT 3G
Practice Address - Street 2:
Practice Address - City:CAROLINA
Practice Address - State:PR
Practice Address - Zip Code:00979-7001
Practice Address - Country:US
Practice Address - Phone:787-598-0168
Practice Address - Fax:787-753-5082
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-14
Last Update Date:2016-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PR18041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PRQ-61244Medicare UPIN
PR5-7616Medicare ID - Type UnspecifiedSOCIAL WORKER