Provider Demographics
NPI:1306150230
Name:WESTBROOKE, VALERIE E (LCSW)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:E
Last Name:WESTBROOKE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:VALERIE
Other - Middle Name:WESTBROOKE
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW
Mailing Address - Street 1:611 W. UNION ST.
Mailing Address - Street 2:
Mailing Address - City:BENSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85602
Mailing Address - Country:US
Mailing Address - Phone:520-586-0800
Mailing Address - Fax:520-586-6115
Practice Address - Street 1:1326 HWY 92
Practice Address - Street 2:SUITE J
Practice Address - City:BISBEE
Practice Address - State:AZ
Practice Address - Zip Code:85603
Practice Address - Country:US
Practice Address - Phone:520-432-7751
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-03
Last Update Date:2010-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-129721041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical