Provider Demographics
NPI:1396002168
Name:NOLAN, JANET (LCSW-C, CPC)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:NOLAN
Suffix:
Gender:F
Credentials:LCSW-C, CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:222 BOSLEY AVE
Mailing Address - Street 2:SUITE A-2
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-4328
Mailing Address - Country:US
Mailing Address - Phone:410-591-9916
Mailing Address - Fax:410-821-8613
Practice Address - Street 1:222 BOSLEY AVE
Practice Address - Street 2:SUITE A-2
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-4328
Practice Address - Country:US
Practice Address - Phone:410-591-9916
Practice Address - Fax:410-821-8613
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-18
Last Update Date:2012-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD133561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical