Provider Demographics
NPI:1891074589
Name:CASTRO, VALERIE SUZANNE (MSW)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:SUZANNE
Last Name:CASTRO
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1800 TULLY RD
Mailing Address - Street 2:STE A-2
Mailing Address - City:MODESTO
Mailing Address - State:CA
Mailing Address - Zip Code:95350-2946
Mailing Address - Country:US
Mailing Address - Phone:209-622-1420
Mailing Address - Fax:209-491-0627
Practice Address - Street 1:1800 TULLY RD
Practice Address - Street 2:STE A-2
Practice Address - City:MODESTO
Practice Address - State:CA
Practice Address - Zip Code:95350-2946
Practice Address - Country:US
Practice Address - Phone:209-622-1420
Practice Address - Fax:209-491-0627
Is Sole Proprietor?:No
Enumeration Date:2011-08-11
Last Update Date:2011-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker