Provider Demographics
NPI:1265455794
Name:JAMES, JANE REA (MSSW)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:REA
Last Name:JAMES
Suffix:
Gender:F
Credentials:MSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6300 UNIVERSITY AVE
Mailing Address - Street 2:SUITE 225
Mailing Address - City:MIDDLETON
Mailing Address - State:WI
Mailing Address - Zip Code:53562-3463
Mailing Address - Country:US
Mailing Address - Phone:608-237-8000
Mailing Address - Fax:608-237-8005
Practice Address - Street 1:6300 UNIVERSITY AVE
Practice Address - Street 2:SUITE 225
Practice Address - City:MIDDLETON
Practice Address - State:WI
Practice Address - Zip Code:53562-3463
Practice Address - Country:US
Practice Address - Phone:608-237-8000
Practice Address - Fax:608-237-8005
Is Sole Proprietor?:No
Enumeration Date:2006-07-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI2249-1231041C0700X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WI1011557OtherPHYSICIANS PLUS INS CORP
WI11409138004OtherBLUE CROSS