Provider Demographics
NPI:1063671840
Name:SANDHU, JANBIR KAUR (MSW)
Entity Type:Individual
Prefix:
First Name:JANBIR
Middle Name:KAUR
Last Name:SANDHU
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2010 EL CAMINO REAL
Mailing Address - Street 2:#623
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-4051
Mailing Address - Country:US
Mailing Address - Phone:408-510-7512
Mailing Address - Fax:
Practice Address - Street 1:2011 LITTLE ORCHARD ST
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95125-1031
Practice Address - Country:US
Practice Address - Phone:408-510-7512
Practice Address - Fax:408-254-9960
Is Sole Proprietor?:No
Enumeration Date:2008-06-05
Last Update Date:2016-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC60019291104100000X
CA26885104100000X
CA72753104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker