Provider Demographics
NPI:1700457082
Name:MOHRMAN, VALERIE SUE (LCSW)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:SUE
Last Name:MOHRMAN
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 1:12804 TROON BAY DR
Mailing Address - Street 2:
Mailing Address - City:MIDLOTHIAN
Mailing Address - State:VA
Mailing Address - Zip Code:23114-7108
Mailing Address - Country:US
Mailing Address - Phone:804-396-9752
Mailing Address - Fax:
Practice Address - Street 1:12804 TROON BAY DR
Practice Address - Street 2:
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-7108
Practice Address - Country:US
Practice Address - Phone:804-396-9752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-07
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040129971041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical