Provider Demographics
NPI:1548588155
Name:WILSON-LINDBERG, VALERIE ADEL (LCSW)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:ADEL
Last Name:WILSON-LINDBERG
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3549 KNOXVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:LONG BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90808-2914
Mailing Address - Country:US
Mailing Address - Phone:562-233-2526
Mailing Address - Fax:
Practice Address - Street 1:5500 E ATHERTON ST
Practice Address - Street 2:STE 225
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90815-4017
Practice Address - Country:US
Practice Address - Phone:562-233-2526
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-06
Last Update Date:2019-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS214291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical