Provider Demographics
NPI:1285735233
Name:PALEY, VALENTINA (LCSW)
Entity type:Individual
Prefix:MS
First Name:VALENTINA
Middle Name:
Last Name:PALEY
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 1:67 BATTERY AVE
Mailing Address - Street 2:SUITE 3A
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11228-3514
Mailing Address - Country:US
Mailing Address - Phone:917-693-9597
Mailing Address - Fax:718-252-9411
Practice Address - Street 1:1695 E 21ST ST
Practice Address - Street 2:SUITE 10A
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-5052
Practice Address - Country:US
Practice Address - Phone:917-693-9597
Practice Address - Fax:718-252-9411
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR055286-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY01884711Medicaid
NY01884711Medicaid
NYN0L562Medicare ID - Type Unspecified