Provider Demographics
NPI:1568583227
Name:SOTO-VALENTINO, FRANCES T (LMSW, CASAC)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:T
Last Name:SOTO-VALENTINO
Suffix:
Gender:F
Credentials:LMSW, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 19TH AVE
Mailing Address - Street 2:
Mailing Address - City:RONKONKOMA
Mailing Address - State:NY
Mailing Address - Zip Code:11779-6214
Mailing Address - Country:US
Mailing Address - Phone:631-404-6068
Mailing Address - Fax:
Practice Address - Street 1:991 MAIN ST
Practice Address - Street 2:SUITE 102
Practice Address - City:HOLBROOK
Practice Address - State:NY
Practice Address - Zip Code:11741-1608
Practice Address - Country:US
Practice Address - Phone:631-404-6706
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-02
Last Update Date:2012-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY18208101YA0400X
NY079260-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)