Provider Demographics
NPI:1508992413
Name:WALKER, VALENTINO (LCSW)
Entity Type:Individual
Prefix:
First Name:VALENTINO
Middle Name:
Last Name:WALKER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1730 S AMPHLETT BLVD STE 215
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-2723
Mailing Address - Country:US
Mailing Address - Phone:650-577-2098
Mailing Address - Fax:
Practice Address - Street 1:1730 S AMPHLETT BLVD STE 215
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-2723
Practice Address - Country:US
Practice Address - Phone:650-577-2098
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2018-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW844791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical