Provider Demographics
NPI:1205568375
Name:HODGES, VALERIE A (LSW)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:A
Last Name:HODGES
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:A
Other - Last Name:HUFFMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2381 CAROLINA RD
Mailing Address - Street 2:
Mailing Address - City:NICHOLS
Mailing Address - State:SC
Mailing Address - Zip Code:29581-4641
Mailing Address - Country:US
Mailing Address - Phone:317-717-2769
Mailing Address - Fax:
Practice Address - Street 1:2381 CAROLINA RD
Practice Address - Street 2:
Practice Address - City:NICHOLS
Practice Address - State:SC
Practice Address - Zip Code:29581-4641
Practice Address - Country:US
Practice Address - Phone:317-717-2769
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-28
Last Update Date:2025-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC177601041C0700X
OHS.22077611041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical