Ellington, Valerie Shae

Ellington, Valerie Shae is an sole proprietor health care provider with primary practice located at 202 W Park Ave , Champaign IL 61820-3929. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Social Worker is her primary health care specialty. Ellington, Valerie Shae can be contacted via phone (217) 373-2428.

Contact Information

Primary practice address
202 W Park Ave Champaign IL 61820-3929
Phone: (217) 373-2428
Fax: (217) 373-2445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X Illinois

Profile Details

NPI number 1629130505
LBN Legal business name Ellington, Valerie Shae
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 15th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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