Provider Demographics
NPI:1609072388
Name:DANEK, JANET J (MSW LICSW)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:J
Last Name:DANEK
Suffix:
Gender:F
Credentials:MSW LICSW
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:J
Other - Last Name:STABILE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LICSW
Mailing Address - Street 1:73 BLISS RD
Mailing Address - Street 2:
Mailing Address - City:LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01106-1419
Mailing Address - Country:US
Mailing Address - Phone:413-205-9945
Mailing Address - Fax:
Practice Address - Street 1:215 SOMERS RD
Practice Address - Street 2:
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-2928
Practice Address - Country:US
Practice Address - Phone:413-205-9945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-21
Last Update Date:2019-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10277951041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA43989OtherHEALTH NEW ENGLAND
MA9546154OtherAETNA
MA1040962OtherCIGNA
MAP08858OtherBLUE CROSS