Provider Demographics
NPI:1568485340
Name:TREANOR, JANET (LICSW)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:
Last Name:TREANOR
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 GRIST MILL RD
Mailing Address - Street 2:
Mailing Address - City:HARWICH
Mailing Address - State:MA
Mailing Address - Zip Code:02645-1422
Mailing Address - Country:US
Mailing Address - Phone:508-428-3698
Mailing Address - Fax:508-428-0005
Practice Address - Street 1:230 COTUIT RD
Practice Address - Street 2:
Practice Address - City:MARSTONS MILLS
Practice Address - State:MA
Practice Address - Zip Code:02648-1834
Practice Address - Country:US
Practice Address - Phone:508-428-3698
Practice Address - Fax:508-428-0005
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-25
Last Update Date:2013-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10297431041C0700X
MARN106120163WC1500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No163WC1500XNursing Service ProvidersRegistered NurseCommunity Health