Provider Demographics
NPI:1013018647
Name:KASS, JANET (LCSW)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:KASS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:314 MARION AVE
Mailing Address - Street 2:
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-2661
Mailing Address - Country:US
Mailing Address - Phone:510-417-6732
Mailing Address - Fax:888-965-0584
Practice Address - Street 1:314 MARION AVE
Practice Address - Street 2:
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-2661
Practice Address - Country:US
Practice Address - Phone:510-417-6732
Practice Address - Fax:888-965-0584
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2022-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR032617-1101YM0800X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7482980OtherEMPIRE PLAN
NY000135468OtherEXCELLUS BLUE CROSS
NY7482980OtherEMPIRE PLAN