Provider Demographics
NPI:1477032324
Name:GIAT, JANE CAGEN (MSW, LICSW)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:CAGEN
Last Name:GIAT
Suffix:
Gender:F
Credentials:MSW, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:98 ARNOLD RD
Mailing Address - Street 2:
Mailing Address - City:PELHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01002-9791
Mailing Address - Country:US
Mailing Address - Phone:413-374-3788
Mailing Address - Fax:
Practice Address - Street 1:98 ARNOLD RD
Practice Address - Street 2:
Practice Address - City:PELHAM
Practice Address - State:MA
Practice Address - Zip Code:01002-9791
Practice Address - Country:US
Practice Address - Phone:413-374-3788
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-08-11
Last Update Date:2018-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1076941041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical