Provider Demographics
NPI:1740312628
Name:VALENTINI, NATALINA (LCSW ACSW)
Entity type:Individual
Prefix:
First Name:NATALINA
Middle Name:
Last Name:VALENTINI
Suffix:
Gender:F
Credentials:LCSW ACSW
Other - Prefix:
Other - First Name:NATALINA
Other - Middle Name:
Other - Last Name:VALENTINI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:32000 NORTHWESTERN HIGHWAY
Mailing Address - Street 2:SUITE 165
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48334
Mailing Address - Country:US
Mailing Address - Phone:248-990-8287
Mailing Address - Fax:248-538-8556
Practice Address - Street 1:32000 NORTHWESTERN HIGHWAY
Practice Address - Street 2:SUITE 165
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48334
Practice Address - Country:US
Practice Address - Phone:248-990-8287
Practice Address - Fax:248-538-8556
Is Sole Proprietor?:No
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI7852671041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1031655Medicaid