Provider Demographics
NPI:1568834356
Name:JAMES, VALORIE (LCSW)
Entity Type:Individual
Prefix:
First Name:VALORIE
Middle Name:
Last Name:JAMES
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 1:1800 N HERMITAGE AVE
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60622-1161
Mailing Address - Country:US
Mailing Address - Phone:312-655-7143
Mailing Address - Fax:312-266-9027
Practice Address - Street 1:1800 N HERMITAGE AVE
Practice Address - Street 2:2ND FLOOR
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60622-1161
Practice Address - Country:US
Practice Address - Phone:312-655-7143
Practice Address - Fax:312-266-9027
Is Sole Proprietor?:No
Enumeration Date:2015-10-20
Last Update Date:2015-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490114501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical