Provider Demographics
NPI:1689821738
Name:VALENCIA, SUSANA (LCSW)
Entity Type:Individual
Prefix:
First Name:SUSANA
Middle Name:
Last Name:VALENCIA
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 1:425 DEL SOL PKWY
Mailing Address - Street 2:
Mailing Address - City:DELANO
Mailing Address - State:CA
Mailing Address - Zip Code:93215-3442
Mailing Address - Country:US
Mailing Address - Phone:661-720-4011
Mailing Address - Fax:661-720-4012
Practice Address - Street 1:425 DEL SOL PKWY
Practice Address - Street 2:
Practice Address - City:DELANO
Practice Address - State:CA
Practice Address - Zip Code:93215-3442
Practice Address - Country:US
Practice Address - Phone:661-720-4011
Practice Address - Fax:661-720-4012
Is Sole Proprietor?:No
Enumeration Date:2008-08-20
Last Update Date:2021-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA67766104100000X
CA1007061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker