Provider Demographics
NPI:1750504049
Name:VALLI, CLAIRE G (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:CLAIRE
Middle Name:G
Last Name:VALLI
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8719 E COLUMBUS AVE
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85251-5052
Mailing Address - Country:US
Mailing Address - Phone:480-990-1099
Mailing Address - Fax:480-990-1099
Practice Address - Street 1:8719 E COLUMBUS AVE
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-5052
Practice Address - Country:US
Practice Address - Phone:480-990-1099
Practice Address - Fax:480-990-1099
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW 117921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ105965Medicare ID - Type UnspecifiedINDIV. PIN #