Provider Demographics
NPI:1760676498
Name:GRABOWSKI, VALERIE TERESE (LCSW)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:TERESE
Last Name:GRABOWSKI
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 1:2621 MAYFIELD AVE
Mailing Address - Street 2:
Mailing Address - City:AMBRIDGE
Mailing Address - State:PA
Mailing Address - Zip Code:15003-1457
Mailing Address - Country:US
Mailing Address - Phone:210-241-2350
Mailing Address - Fax:
Practice Address - Street 1:1098 KENNEDY DR
Practice Address - Street 2:
Practice Address - City:AMBRIDGE
Practice Address - State:PA
Practice Address - Zip Code:15003-2314
Practice Address - Country:US
Practice Address - Phone:210-241-2350
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-06
Last Update Date:2014-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW014628104100000X
TX527201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA759292OtherAETNA
PA559669OtherHIGHMARK
PA157730Medicaid
PA759292OtherAETNA
PA034423Medicare PIN