Provider Demographics
NPI:1962618439
Name:VALLADARES, LOIS BARBARA (MS, LICSW)
Entity type:Individual
Prefix:MS
First Name:LOIS
Middle Name:BARBARA
Last Name:VALLADARES
Suffix:
Gender:F
Credentials:MS, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4242 E WEST HWY
Mailing Address - Street 2:SUITE 1119,
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-5934
Mailing Address - Country:US
Mailing Address - Phone:301-656-3265
Mailing Address - Fax:301-986-4647
Practice Address - Street 1:1801 CONNECTICUT AVE NW
Practice Address - Street 2:4TH FLOOR
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20009-5700
Practice Address - Country:US
Practice Address - Phone:202-429-4936
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3022701041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical