| Doctor Name: | MS. VALERIE ANNE MITCHELL FADIL |
| NPI Number: | 1053484519 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 1041C0700X |
| Business Practice Address: | 497 Broadway Suite C Bayonne, NJ - 070023710 |
| Business Phone Number: | 9737250616 |
| Business Fax Number: | 9737730413 |
| Mailing Address: | 900 Valley Rd, # F8 CLIFTON |
| State: | NJ |
| Postal Code: | 070134042 |
| Phone Number: | 9737250616 |
| Fax Number: | 9737730413 |
| NPI Enumeration Date: | 11/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 1041C0700X |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |