Provider Demographics
NPI:1962192468
Name:KLINE, VALERIE ANN (LCSW)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:ANN
Last Name:KLINE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40301 NW 24TH DR
Mailing Address - Street 2:
Mailing Address - City:OKEECHOBEE
Mailing Address - State:FL
Mailing Address - Zip Code:34972-4221
Mailing Address - Country:US
Mailing Address - Phone:754-367-2626
Mailing Address - Fax:
Practice Address - Street 1:203 SE 2ND AVE # B
Practice Address - Street 2:
Practice Address - City:OKEECHOBEE
Practice Address - State:FL
Practice Address - Zip Code:34974-4305
Practice Address - Country:US
Practice Address - Phone:863-532-0333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-09
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW141021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical