Provider Demographics
NPI:1083879043
Name:PERRITTE, JANELLE YVONNE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JANELLE
Middle Name:YVONNE
Last Name:PERRITTE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:JANELLE
Other - Middle Name:YVONNE
Other - Last Name:ORTIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4457 NW 113TH WAY
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33065-7211
Mailing Address - Country:US
Mailing Address - Phone:727-365-8026
Mailing Address - Fax:
Practice Address - Street 1:2225 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33024-3611
Practice Address - Country:US
Practice Address - Phone:954-544-4991
Practice Address - Fax:954-544-4992
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-18
Last Update Date:2015-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 102241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical