Provider Demographics
NPI:1316021470
Name:STITT, JANET ANN (LCSW LLC)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:ANN
Last Name:STITT
Suffix:
Gender:F
Credentials:LCSW LLC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:433 US RT 1
Mailing Address - Street 2:STE 213
Mailing Address - City:YORK
Mailing Address - State:ME
Mailing Address - Zip Code:03909
Mailing Address - Country:US
Mailing Address - Phone:207-363-8500
Mailing Address - Fax:207-363-8500
Practice Address - Street 1:433 US RT 1
Practice Address - Street 2:STE 213
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03909
Practice Address - Country:US
Practice Address - Phone:207-363-8500
Practice Address - Fax:207-363-8500
Is Sole Proprietor?:No
Enumeration Date:2006-10-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC73171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
2201473OtherCIGNA
03036OtherEBPA
7077543OtherAETNA
ME061442OtherBXBS
NH14Y007641ME02OtherBXBS
349572OtherTRICARE
349572OtherTRICARE