Provider Demographics
NPI:1215618129
Name:VALENTINE, CADENCE LIARA (LCSW)
Entity type:Individual
Prefix:
First Name:CADENCE
Middle Name:LIARA
Last Name:VALENTINE
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 1:444 E TUJUNGA AVE APT 210
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91501-3011
Mailing Address - Country:US
Mailing Address - Phone:909-484-8494
Mailing Address - Fax:
Practice Address - Street 1:3055 WILSHIRE BLVD STE 360
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90010-1129
Practice Address - Country:US
Practice Address - Phone:323-993-2900
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-25
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW1163841041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical