Provider Demographics
NPI:1225276355
Name:BUSSEY, JANET CAROLE (PHD, LCSW-C, LICSW)
Entity Type:Individual
Prefix:DR
First Name:JANET
Middle Name:CAROLE
Last Name:BUSSEY
Suffix:
Gender:F
Credentials:PHD, LCSW-C, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1636 CRITTENDEN ST NE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-3125
Mailing Address - Country:US
Mailing Address - Phone:202-832-8846
Mailing Address - Fax:
Practice Address - Street 1:1636 CRITTENDEN ST NE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-3125
Practice Address - Country:US
Practice Address - Phone:202-832-8846
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-27
Last Update Date:2009-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC30007631041C0700X
MD128051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical