Provider Demographics
NPI:1689284788
Name:MCNAMARA, VALERIE MARIE (LLMSW)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:MARIE
Last Name:MCNAMARA
Suffix:
Gender:F
Credentials:LLMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:487 S DRAKE RD STE B
Mailing Address - Street 2:
Mailing Address - City:KALAMAZOO
Mailing Address - State:MI
Mailing Address - Zip Code:49009-3236
Mailing Address - Country:US
Mailing Address - Phone:269-779-7577
Mailing Address - Fax:269-775-1121
Practice Address - Street 1:487 S DRAKE RD STE B
Practice Address - Street 2:
Practice Address - City:KALAMAZOO
Practice Address - State:MI
Practice Address - Zip Code:49009-3236
Practice Address - Country:US
Practice Address - Phone:269-779-7577
Practice Address - Fax:269-775-1121
Is Sole Proprietor?:No
Enumeration Date:2020-08-04
Last Update Date:2020-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6801106979104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker