Provider Demographics
NPI:1902986631
Name:MARCKETTA, VALERIE (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:VALERIE
Middle Name:
Last Name:MARCKETTA
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 1:18 MEEKER PL
Mailing Address - Street 2:
Mailing Address - City:MILLBURN
Mailing Address - State:NJ
Mailing Address - Zip Code:07041-1108
Mailing Address - Country:US
Mailing Address - Phone:973-376-0706
Mailing Address - Fax:
Practice Address - Street 1:567 PARK AVE
Practice Address - Street 2:204
Practice Address - City:SCOTCH PLAINS
Practice Address - State:NJ
Practice Address - Zip Code:07076-1754
Practice Address - Country:US
Practice Address - Phone:908-322-0112
Practice Address - Fax:908-789-0230
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC004902001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical