Provider Demographics
NPI:1952032021
Name:LE GRANDE-STEWART, VALERIE K (LMSW, HRM, BHP, CPSS)
Entity Type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:K
Last Name:LE GRANDE-STEWART
Suffix:
Gender:F
Credentials:LMSW, HRM, BHP, CPSS
Other - Prefix:MISS
Other - First Name:VALERIE
Other - Middle Name:K
Other - Last Name:LE GRANDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1018 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85203-8803
Mailing Address - Country:US
Mailing Address - Phone:480-233-6849
Mailing Address - Fax:
Practice Address - Street 1:483 W SEED FARM RD
Practice Address - Street 2:
Practice Address - City:SACATON
Practice Address - State:AZ
Practice Address - Zip Code:85147-5000
Practice Address - Country:US
Practice Address - Phone:520-610-8427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-17753104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty