Provider Demographics
NPI:1518051242
Name:JANNISE, APRIL MICHELLE (LCSW)
Entity Type:Individual
Prefix:MISS
First Name:APRIL
Middle Name:MICHELLE
Last Name:JANNISE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:APRIL
Other - Middle Name:MICHELLE
Other - Last Name:WEATHERFORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BA
Mailing Address - Street 1:21342 AVENIDA MANANTIAL
Mailing Address - Street 2:
Mailing Address - City:LAKE FOREST
Mailing Address - State:CA
Mailing Address - Zip Code:92630-2125
Mailing Address - Country:US
Mailing Address - Phone:949-305-0687
Mailing Address - Fax:
Practice Address - Street 1:400 W CIVIC CENTER DR
Practice Address - Street 2:
Practice Address - City:SANTA ANA
Practice Address - State:CA
Practice Address - Zip Code:92701-4539
Practice Address - Country:US
Practice Address - Phone:714-347-0363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0033041041C0700X
CA246251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical