Provider Demographics
NPI:1902157043
Name:FOSTER, VALERIE LYNNE (MSW,LSW)
Entity Type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:LYNNE
Last Name:FOSTER
Suffix:
Gender:F
Credentials:MSW,LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7117 HILLBROW CT N
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18302-8609
Mailing Address - Country:US
Mailing Address - Phone:570-994-2682
Mailing Address - Fax:
Practice Address - Street 1:7117 HILLBROW CT N
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18302-8609
Practice Address - Country:US
Practice Address - Phone:570-994-2682
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW-012866-L101YM0800X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health