Provider Demographics
NPI:1265886410
Name:FLOYD, VALERIE (LICSW, LCSW-C)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:FLOYD
Suffix:
Gender:F
Credentials:LICSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 834
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:MD
Mailing Address - Zip Code:20695-0834
Mailing Address - Country:US
Mailing Address - Phone:301-787-8789
Mailing Address - Fax:
Practice Address - Street 1:15912 CRAIN HWY
Practice Address - Street 2:UNIT B #182
Practice Address - City:BRANDYWINE
Practice Address - State:MD
Practice Address - Zip Code:20613-8035
Practice Address - Country:US
Practice Address - Phone:240-681-9680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-13
Last Update Date:2016-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500777681041C0700X
MD181201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical