Athena Soleim, LCSW
Social Worker, Clinical in Valparaiso, IN. Individual provider (NPI-1).
NPI number1689217697
StatusActive
Last updated in NPPESJul 1, 2024
Details
- NPI
- 1689217697
- Entity type
- Individual (NPI-1)
- Name
- Athena Soleim
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 22, 2019
- Certification date
- Jul 1, 2024
- Last updated
- Jul 1, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | 34007296A | IN |
Practice location
2254 Saint Joseph LnValparaiso, IN 46385-5449
Phone 219-801-6453
Mailing address
467 N 211 EValparaiso, IN 46383-9147
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