Provider Demographics
NPI:1427174507
Name:MCMANUS, VALERIE RAINON (LCSW-C)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:RAINON
Last Name:MCMANUS
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4237 DANCING SUNBEAM CT
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-5923
Mailing Address - Country:US
Mailing Address - Phone:410-465-2375
Mailing Address - Fax:
Practice Address - Street 1:3691 PARK AVE
Practice Address - Street 2:SUITE 3
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-4783
Practice Address - Country:US
Practice Address - Phone:410-465-8687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD115291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical