Provider Demographics
NPI:1598030330
Name:JANELLE A. LAFORE, LCSW, LLC
Entity Type:Organization
Organization Name:JANELLE A. LAFORE, LCSW, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LCSW
Authorized Official - Prefix:
Authorized Official - First Name:JANELLE
Authorized Official - Middle Name:
Authorized Official - Last Name:LAFORE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:570-523-7509
Mailing Address - Street 1:115 FARLEY CIR
Mailing Address - Street 2:SUITE 202
Mailing Address - City:LEWISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17837-9252
Mailing Address - Country:US
Mailing Address - Phone:570-523-7509
Mailing Address - Fax:570-523-7599
Practice Address - Street 1:115 FARLEY CIR
Practice Address - Street 2:SUITE 202
Practice Address - City:LEWISBURG
Practice Address - State:PA
Practice Address - Zip Code:17837-9252
Practice Address - Country:US
Practice Address - Phone:570-523-7509
Practice Address - Fax:570-523-7599
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-13
Last Update Date:2013-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0164131041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty