Provider Demographics
NPI:1437759289
Name:SMITH, VALERIE MICHELLE (LMSW)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:MICHELLE
Last Name:SMITH
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:MICHELLE
Other - Last Name:LINDERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:111 PLAZA CIR
Mailing Address - Street 2:
Mailing Address - City:WATERLOO
Mailing Address - State:IA
Mailing Address - Zip Code:50701-5138
Mailing Address - Country:US
Mailing Address - Phone:888-316-3025
Mailing Address - Fax:319-433-3870
Practice Address - Street 1:1668 JORDAN WEST RD
Practice Address - Street 2:
Practice Address - City:DECORAH
Practice Address - State:IA
Practice Address - Zip Code:52101-7687
Practice Address - Country:US
Practice Address - Phone:888-316-3025
Practice Address - Fax:319-433-3870
Is Sole Proprietor?:No
Enumeration Date:2020-10-30
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
IA114233104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)