Provider Demographics
NPI:1710652219
Name:FARESTER, VALERIE BETH (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:VALERIE
Middle Name:BETH
Last Name:FARESTER
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 MORTON AVE
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-6336
Mailing Address - Country:US
Mailing Address - Phone:814-602-2780
Mailing Address - Fax:
Practice Address - Street 1:120 FRANKLIN ST STE 1A
Practice Address - Street 2:
Practice Address - City:SLIPPERY ROCK
Practice Address - State:PA
Practice Address - Zip Code:16057-1160
Practice Address - Country:US
Practice Address - Phone:724-264-8171
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-16
Last Update Date:2024-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW136625104100000X
PACW0224111041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker