Provider Demographics
NPI:1811148042
Name:MARKS, VALERIE TINA (LCSW-C)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:TINA
Last Name:MARKS
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:VALERIE
Other - Middle Name:TINA
Other - Last Name:COX
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:2104 EASTRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:LUTHERVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21093-3432
Mailing Address - Country:US
Mailing Address - Phone:443-608-0786
Mailing Address - Fax:
Practice Address - Street 1:121 E RIDGELY RD
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-5222
Practice Address - Country:US
Practice Address - Phone:443-809-7650
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-10-07
Last Update Date:2024-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD100151041C0700X
NY0764811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical