Provider Demographics
NPI:1518187509
Name:TRUSKY, JANICE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JANICE
Middle Name:
Last Name:TRUSKY
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 1:314 HOGAN WOODS CIRCLE
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516
Mailing Address - Country:US
Mailing Address - Phone:919-260-8613
Mailing Address - Fax:
Practice Address - Street 1:180 PROVIDENCE RD
Practice Address - Street 2:4
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27514-2237
Practice Address - Country:US
Practice Address - Phone:919-260-8613
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2008-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0034631041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC138T-5OtherBCBS
NC6002945Medicaid