Provider Demographics
NPI:1083798615
Name:LAING, JANET (LMSW, CAADC, CCS-M)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:
Last Name:LAING
Suffix:
Gender:F
Credentials:LMSW, CAADC, CCS-M
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:377 LINCOLN AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLAND
Mailing Address - State:MI
Mailing Address - Zip Code:49423-3664
Mailing Address - Country:US
Mailing Address - Phone:616-355-7095
Mailing Address - Fax:
Practice Address - Street 1:377 LINCOLN AVE
Practice Address - Street 2:
Practice Address - City:HOLLAND
Practice Address - State:MI
Practice Address - Zip Code:49423-3664
Practice Address - Country:US
Practice Address - Phone:616-355-7095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2011-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010724991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical