Provider Demographics
NPI:1053909200
Name:VALDEZ, DENISE ANN (CSW)
Entity type:Individual
Prefix:MS
First Name:DENISE
Middle Name:ANN
Last Name:VALDEZ
Suffix:
Gender:F
Credentials:CSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 LAUREN DR
Mailing Address - Street 2:
Mailing Address - City:NICHOLASVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40356-2651
Mailing Address - Country:US
Mailing Address - Phone:859-229-4885
Mailing Address - Fax:
Practice Address - Street 1:SPERO HEALTH
Practice Address - Street 2:177 BURT ROAD
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40503
Practice Address - Country:US
Practice Address - Phone:859-687-9725
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-01-04
Last Update Date:2021-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYKY6294251B00000X
KY6294251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management