Provider Demographics
NPI:1639467335
Name:ANDERSON, VALERIE WILLIFORD (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:WILLIFORD
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:ANNE
Other - Last Name:WILLIFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1411 WESLEY DR
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801-7149
Mailing Address - Country:US
Mailing Address - Phone:410-642-4011
Mailing Address - Fax:
Practice Address - Street 1:1411 WESLEY DR
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21801-7149
Practice Address - Country:US
Practice Address - Phone:410-642-4011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-14
Last Update Date:2021-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD162291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD119591300Medicaid
MD119591300Medicaid
211833Medicare Oscar/Certification