Provider Demographics
NPI:1972782241
Name:VALENTINE, JEANETTE (LSW)
Entity Type:Individual
Prefix:
First Name:JEANETTE
Middle Name:
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:145 SAXONY DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-2418
Mailing Address - Country:US
Mailing Address - Phone:412-965-1215
Mailing Address - Fax:
Practice Address - Street 1:145 SAXONY DR
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-2418
Practice Address - Country:US
Practice Address - Phone:412-965-1215
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW124924104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker