Provider Demographics
NPI:1396826434
Name:ANEZ, JANEE MARIE (LICSW)
Entity Type:Individual
Prefix:MS
First Name:JANEE
Middle Name:MARIE
Last Name:ANEZ
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 1:501 HIGHWAY 13 E
Mailing Address - Street 2:SUITE 108
Mailing Address - City:BURNSVILLE
Mailing Address - State:MN
Mailing Address - Zip Code:55337-2884
Mailing Address - Country:US
Mailing Address - Phone:952-564-3000
Mailing Address - Fax:952-564-3031
Practice Address - Street 1:501 EAST HWY 13
Practice Address - Street 2:SUITE 108
Practice Address - City:BURNSVILLE
Practice Address - State:MN
Practice Address - Zip Code:55337
Practice Address - Country:US
Practice Address - Phone:952-564-3000
Practice Address - Fax:952-564-3031
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN166431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MN600030251OtherMAGELLAN
MN092P5ANOtherBCBS
MN152169OtherBHP/UCARE
MN674488000Medicaid
MN411910086OtherCORPHEALTH
MN1049801OtherBHP/PREFERRED ONE
MNHP73733OtherHEALTH PARTNERS/ CIGNA
MN152169OtherBHP/UCARE