Provider Demographics
NPI:1538370713
Name:GRANT, VALERIE ANN (LCSW, MSW,MA,RSW)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:ANN
Last Name:GRANT
Suffix:
Gender:F
Credentials:LCSW, MSW,MA,RSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:806 WAVERLY RD
Mailing Address - Street 2:
Mailing Address - City:KENNETT SQUARE
Mailing Address - State:PA
Mailing Address - Zip Code:19348-1451
Mailing Address - Country:US
Mailing Address - Phone:610-444-8211
Mailing Address - Fax:
Practice Address - Street 1:806 WAVERLY RD
Practice Address - Street 2:
Practice Address - City:KENNETT SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348-1451
Practice Address - Country:US
Practice Address - Phone:610-444-8211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW015346101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health