Provider Demographics
NPI:1174635577
Name:BABB, JANET MORGAN (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:MORGAN
Last Name:BABB
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:555 WILLARD AVE
Mailing Address - Street 2:NEWINGTON VA HEALTH CARE, SOCIAL WORK SUPERVISOR
Mailing Address - City:NEWINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06111-2631
Mailing Address - Country:US
Mailing Address - Phone:860-666-6951
Mailing Address - Fax:860-667-6872
Practice Address - Street 1:222 MCKEE ST
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-4800
Practice Address - Country:US
Practice Address - Phone:860-922-4180
Practice Address - Fax:888-855-7440
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2009-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX157351041C0700X
CT0064931041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical