Provider Demographics
NPI:1225271901
Name:WHITE, JANET MARIE (MSS)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:MARIE
Last Name:WHITE
Suffix:
Gender:F
Credentials:MSS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:105 BEACON CT
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-6382
Mailing Address - Country:US
Mailing Address - Phone:215-353-6510
Mailing Address - Fax:215-361-0418
Practice Address - Street 1:105 BEACON CT
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-6382
Practice Address - Country:US
Practice Address - Phone:215-353-6510
Practice Address - Fax:215-361-0418
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-11
Last Update Date:2009-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW007495L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker