Provider Demographics
NPI:1891279824
Name:DRIPCHAK, VALERIE LOUISE (LCSW)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:LOUISE
Last Name:DRIPCHAK
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 1:4534 CALADIUM CIR
Mailing Address - Street 2:
Mailing Address - City:WEST MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32904-8605
Mailing Address - Country:US
Mailing Address - Phone:860-538-6070
Mailing Address - Fax:
Practice Address - Street 1:4534 CALADIUM CIR
Practice Address - Street 2:
Practice Address - City:WEST MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32904-8605
Practice Address - Country:US
Practice Address - Phone:860-538-6070
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-15
Last Update Date:2018-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW154391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical