Provider Demographics
NPI:1164727848
Name:LUDEVIG, JANET (LCSW-R)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:
Last Name:LUDEVIG
Suffix:
Gender:F
Credentials:LCSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 WOODS BROOKE LN
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN HEIGHTS
Mailing Address - State:NY
Mailing Address - Zip Code:10598-5153
Mailing Address - Country:US
Mailing Address - Phone:914-310-1074
Mailing Address - Fax:
Practice Address - Street 1:6 WOODS BROOKE LN
Practice Address - Street 2:
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-5153
Practice Address - Country:US
Practice Address - Phone:914-310-1074
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-11
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYRO74891-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical