Provider Demographics
NPI:1386691020
Name:ARNOLD, JANIS HOPE (LICSW)
Entity Type:Individual
Prefix:
First Name:JANIS
Middle Name:HOPE
Last Name:ARNOLD
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 1:12 MOUNT VERNON ST
Mailing Address - Street 2:
Mailing Address - City:MELROSE
Mailing Address - State:MA
Mailing Address - Zip Code:02176-5265
Mailing Address - Country:US
Mailing Address - Phone:781-665-1435
Mailing Address - Fax:617-730-0494
Practice Address - Street 1:300 LONGWOOD AVE
Practice Address - Street 2:HU-GR, GI DIVISION
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:617-355-8381
Practice Address - Fax:617-730-0494
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1120821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical