Provider Demographics
NPI:1043365695
Name:FLANDERS, JANINE LYNN (LCSW LCAP)
Entity Type:Individual
Prefix:MRS
First Name:JANINE
Middle Name:LYNN
Last Name:FLANDERS
Suffix:
Gender:F
Credentials:LCSW LCAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Mailing Address - Street 1:222 US HIGHWAY ONE
Mailing Address - Street 2:SUITE 208D
Mailing Address - City:TEQUESTA
Mailing Address - State:FL
Mailing Address - Zip Code:33469
Mailing Address - Country:US
Mailing Address - Phone:561-723-9114
Mailing Address - Fax:561-744-6591
Practice Address - Street 1:222 US HIGHWAY ONE
Practice Address - Street 2:SUITE 208D
Practice Address - City:TEQUESTA
Practice Address - State:FL
Practice Address - Zip Code:33469
Practice Address - Country:US
Practice Address - Phone:561-723-9114
Practice Address - Fax:561-744-6591
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL3178L101YA0400X
FLSW61941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ078GMedicare ID - Type Unspecified