Provider Demographics
NPI:1235229295
Name:ABENDROTH, JANET (LISW)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:ABENDROTH
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6165 NW 86TH ST # 2332
Mailing Address - Street 2:
Mailing Address - City:JOHNSTON
Mailing Address - State:IA
Mailing Address - Zip Code:50131-2270
Mailing Address - Country:US
Mailing Address - Phone:515-669-2522
Mailing Address - Fax:515-727-1601
Practice Address - Street 1:6165 NW 86TH ST # 2332
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-2270
Practice Address - Country:US
Practice Address - Phone:515-669-2522
Practice Address - Fax:515-727-1601
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-13
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA062201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical