Provider Demographics
NPI:1558492587
Name:MAUGHAN, JANET VILMA (LCSW,CSW-R)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:VILMA
Last Name:MAUGHAN
Suffix:
Gender:F
Credentials:LCSW,CSW-R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 S MADISON AVE
Mailing Address - Street 2:
Mailing Address - City:DUNELLEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08812-1411
Mailing Address - Country:US
Mailing Address - Phone:732-752-6995
Mailing Address - Fax:732-752-6995
Practice Address - Street 1:243 S MADISON AVE
Practice Address - Street 2:
Practice Address - City:DUNELLEN
Practice Address - State:NJ
Practice Address - Zip Code:08812-1411
Practice Address - Country:US
Practice Address - Phone:732-752-6995
Practice Address - Fax:732-752-6995
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJNJ44SC005226001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical