Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Samuel Valdez

Individual provider Clinical Social Worker · NPI 1639940877

Jack Samuel Valdez is a Clinical Social Worker in Pueblo, Colorado. Licensed in Colorado. Registered with an NPI since 2024.

Licensed in
CO
In the registry since
2024

Practice location Address checks out

114 Bridle Trl
Pueblo, CO 81005-3031
Phone: (719) 406-1958
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 9923486 (CO)

Record details

NPI number1639940877
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJanuary 15, 2024
Last updated in NPPESJanuary 15, 2024
Certification dateJanuary 15, 2024

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