Provider Demographics
NPI:1952739807
Name:MIDDLEBROOKS, VALERIE (LICSW)
Entity Type:Individual
Prefix:
First Name:VALERIE
Middle Name:
Last Name:MIDDLEBROOKS
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3548 ELLERTON RD
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20716-3949
Mailing Address - Country:US
Mailing Address - Phone:240-314-9322
Mailing Address - Fax:
Practice Address - Street 1:1200 CLIFTON ST NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-5217
Practice Address - Country:US
Practice Address - Phone:202-673-7385
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-30
Last Update Date:2013-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3028061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical