Basic Information
Provider Information
NPI: 1750515862
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: COLEMAN-PALANSKY
FirstName: VALERIE
MiddleName: L.
NamePrefix: MRS.
NameSuffix:  
Credential: LCSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 130 GALE PLACE
Address2: APT. 5C
City: BRONX
State: NY
PostalCode: 10463
CountryCode: US
TelephoneNumber: 9146688938
FaxNumber: 9146682545
Practice Location
Address1: 6 GRAMATAN AVENUE
Address2: SUITE 401- C/O WJCS
City: MOUNT VERNON
State: NY
PostalCode: 10550
CountryCode: US
TelephoneNumber: 9146688938
FaxNumber: 9146682545
Other Information
ProviderEnumerationDate: 05/05/2009
LastUpdateDate: 12/11/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
104100000X080226NYY Behavioral Health & Social Service ProvidersSocial Worker 

No ID Information.


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