Provider Demographics
NPI:1194049221
Name:VALENTINE, SHARON (P-LCSW)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:
Last Name:VALENTINE
Suffix:
Gender:F
Credentials:P-LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:304 E CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:RAEFORD
Mailing Address - State:NC
Mailing Address - Zip Code:28376-2911
Mailing Address - Country:US
Mailing Address - Phone:910-904-1560
Mailing Address - Fax:910-875-6057
Practice Address - Street 1:304 EAST CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:RAEFORD
Practice Address - State:NC
Practice Address - Zip Code:28376-2911
Practice Address - Country:US
Practice Address - Phone:910-904-1560
Practice Address - Fax:910-875-6057
Is Sole Proprietor?:No
Enumeration Date:2010-03-18
Last Update Date:2010-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0054001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical