Provider Demographics
NPI:1497940969
Name:SOMERS, JANET DIANE (LCSW)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:DIANE
Last Name:SOMERS
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 1:5315 YARMOUTH AVE
Mailing Address - Street 2:# 107
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-3121
Mailing Address - Country:US
Mailing Address - Phone:818-231-1940
Mailing Address - Fax:
Practice Address - Street 1:5315 YARMOUTH AVE
Practice Address - Street 2:# 107
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-3121
Practice Address - Country:US
Practice Address - Phone:818-231-1940
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-07
Last Update Date:2020-03-25
Deactivation Date:2012-05-03
Deactivation Code:
Reactivation Date:2020-03-25
Provider Licenses
StateLicense IDTaxonomies
CO9860351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical