Provider Demographics
NPI:1063559599
Name:OLTARSH-MCCARTHY, VALERIE DANIELS (LCSW-R)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:DANIELS
Last Name:OLTARSH-MCCARTHY
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 W. 72 STREET
Mailing Address - Street 2:#303
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023
Mailing Address - Country:US
Mailing Address - Phone:646-319-2659
Mailing Address - Fax:
Practice Address - Street 1:133 W. 72 STREET
Practice Address - Street 2:#303
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023
Practice Address - Country:US
Practice Address - Phone:646-319-2659
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-01
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069799-1104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN22Y01Medicare ID - Type Unspecified