Provider Demographics
NPI:1427137801
Name:FORNEY-WILLIAMS, VALLERIA DEANNA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:VALLERIA
Middle Name:DEANNA
Last Name:FORNEY-WILLIAMS
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 1:389 VININGS VINTAGE CIR
Mailing Address - Street 2:
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-7237
Mailing Address - Country:US
Mailing Address - Phone:630-400-8359
Mailing Address - Fax:800-963-8202
Practice Address - Street 1:389 VININGS VINTAGE CIR STE 201
Practice Address - Street 2:
Practice Address - City:MABLETON
Practice Address - State:GA
Practice Address - Zip Code:30126-7237
Practice Address - Country:US
Practice Address - Phone:630-400-8359
Practice Address - Fax:009-638-2028
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-04
Last Update Date:2022-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0120511041C0700X
GACSW0043701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical