Provider Demographics
NPI:1629144423
Name:FERGUSON, VALERIE GAIL (MSW LCSW DCSW)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:GAIL
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:MSW LCSW DCSW
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:GAIL
Other - Last Name:FLAGG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:20720 VENTURA BLVD
Mailing Address - Street 2:SUITE 120 VALERIE FERGUSON MSW DCSW
Mailing Address - City:WOODLAND HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91364
Mailing Address - Country:US
Mailing Address - Phone:818-348-5180
Mailing Address - Fax:818-348-5339
Practice Address - Street 1:20720 VENTURA BLVD
Practice Address - Street 2:SUITE 120 VALERIE FERGUSON MSW DCSW
Practice Address - City:WOODLAND HILLS
Practice Address - State:CA
Practice Address - Zip Code:91364
Practice Address - Country:US
Practice Address - Phone:818-348-5180
Practice Address - Fax:818-348-5339
Is Sole Proprietor?:No
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA60721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical