Provider Demographics
NPI:1497034276
Name:DUQUE, VALERIE MARIE (BS MSW LCSW)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:MARIE
Last Name:DUQUE
Suffix:
Gender:F
Credentials:BS MSW LCSW
Other - Prefix:MISS
Other - First Name:VALERIE
Other - Middle Name:MARIE
Other - Last Name:GRADILLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS MSW
Mailing Address - Street 1:2903 TREMONT AVE
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-4569
Mailing Address - Country:US
Mailing Address - Phone:702-688-2228
Mailing Address - Fax:
Practice Address - Street 1:4180 S PECOS RD
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89121-5074
Practice Address - Country:US
Practice Address - Phone:702-486-7503
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225400000X
NV7780-C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No225400000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Practitioner