Provider Demographics
NPI:1841452125
Name:VALDES, ANGEL P (LCSW)
Entity type:Individual
Prefix:MR
First Name:ANGEL
Middle Name:P
Last Name:VALDES
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:155 S MIAMI AVE STE 700
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33130-1628
Mailing Address - Country:US
Mailing Address - Phone:305-779-9600
Mailing Address - Fax:305-779-9604
Practice Address - Street 1:155 S MIAMI AVE STE 700
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33130-1628
Practice Address - Country:US
Practice Address - Phone:305-779-9600
Practice Address - Fax:305-779-9604
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-27
Last Update Date:2008-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW-37621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical