Provider Demographics
NPI:1275930901
Name:CARDWELL, JANETTE DEANNA (LCSW)
Entity Type:Individual
Prefix:
First Name:JANETTE
Middle Name:DEANNA
Last Name:CARDWELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3370 N VIEW CREST DR
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85745-9793
Mailing Address - Country:US
Mailing Address - Phone:520-743-1630
Mailing Address - Fax:520-743-1630
Practice Address - Street 1:3370 N VIEW CREST DR
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85745-9793
Practice Address - Country:US
Practice Address - Phone:520-743-1630
Practice Address - Fax:520-743-1630
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-24
Last Update Date:2014-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-106731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical