Provider Demographics
NPI:1275297129
Name:DEXTER, JANET (LICSW)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:DEXTER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:57 MCALEE AVE
Mailing Address - Street 2:
Mailing Address - City:FRAMINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01702-7202
Mailing Address - Country:US
Mailing Address - Phone:774-487-1447
Mailing Address - Fax:
Practice Address - Street 1:45 LYMAN ST STE 19
Practice Address - Street 2:
Practice Address - City:WESTBOROUGH
Practice Address - State:MA
Practice Address - Zip Code:01581-2658
Practice Address - Country:US
Practice Address - Phone:774-487-1447
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-27
Last Update Date:2022-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1241691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical