Provider Demographics
NPI:1487161253
Name:VALENTI, VICTORIA ANNE (LICSW)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:ANNE
Last Name:VALENTI
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:BUCKLEY HEALTHCARE CENTER ATTN: VICTORIA VALENTI LICSW
Mailing Address - Street 2:95 LAUREL STREET
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-3106
Mailing Address - Country:US
Mailing Address - Phone:413-774-3143
Mailing Address - Fax:413-772-0478
Practice Address - Street 1:BUCKLEY HEALTHCARE CENTER ATTN; VICTORIA VALENTI LICSW
Practice Address - Street 2:95 LAUREL STREET
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-3106
Practice Address - Country:US
Practice Address - Phone:413-774-3143
Practice Address - Fax:413-772-0478
Is Sole Proprietor?:No
Enumeration Date:2018-01-03
Last Update Date:2018-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1176911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical