Provider Demographics
NPI:1376668111
Name:LAVERTY, JANET K (LCSW)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:K
Last Name:LAVERTY
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 1:1747 W CHESTER PIKE
Mailing Address - Street 2:UNIT 19
Mailing Address - City:HAVERTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19083-2933
Mailing Address - Country:US
Mailing Address - Phone:610-626-6550
Mailing Address - Fax:610-626-2069
Practice Address - Street 1:240 N BISHOP AVE
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:PA
Practice Address - Zip Code:19064-3347
Practice Address - Country:US
Practice Address - Phone:610-626-6550
Practice Address - Fax:610-626-2069
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0155161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical