Provider Demographics
NPI:1578119970
Name:BROWNE-VALENTINE, CARMEN R (LCSW)
Entity type:Individual
Prefix:MRS
First Name:CARMEN
Middle Name:R
Last Name:BROWNE-VALENTINE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:CARMEN
Other - Middle Name:R
Other - Last Name:BROWNE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:1427 VINE ST FL 2
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19102-1031
Mailing Address - Country:US
Mailing Address - Phone:267-507-6755
Mailing Address - Fax:
Practice Address - Street 1:1427 VINE ST FL 2
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19102-1031
Practice Address - Country:US
Practice Address - Phone:267-507-6755
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-08-13
Last Update Date:2024-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0247041041C0700X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical