Provider Demographics
NPI:1366877235
Name:VALENTINO, LAURA (MSW, LISW)
Entity type:Individual
Prefix:
First Name:LAURA
Middle Name:
Last Name:VALENTINO
Suffix:
Gender:F
Credentials:MSW, LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1628 VALLEY CREST DR
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43228-9570
Mailing Address - Country:US
Mailing Address - Phone:614-440-6287
Mailing Address - Fax:
Practice Address - Street 1:3913 BERRY LEAF LN
Practice Address - Street 2:
Practice Address - City:HILLIARD
Practice Address - State:OH
Practice Address - Zip Code:43026-3140
Practice Address - Country:US
Practice Address - Phone:614-440-6287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-10
Last Update Date:2021-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS1302867104100000X
OHI.15020161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker