Provider Demographics
NPI:1639160971
Name:JAMISON, JANET LOUISE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:LOUISE
Last Name:JAMISON
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 1:84 LAWRENCE RD
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-9102
Mailing Address - Country:US
Mailing Address - Phone:828-628-0277
Mailing Address - Fax:
Practice Address - Street 1:84 LAWRENCE RD
Practice Address - Street 2:
Practice Address - City:FLETCHER
Practice Address - State:NC
Practice Address - Zip Code:28732-9102
Practice Address - Country:US
Practice Address - Phone:828-628-0277
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-04
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0024751041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC62-95637OtherUNITED HEALTH CARE
NC191192OtherCOMPSYCH
NC60-02003Medicaid
NC36223OtherWESTERN HIGHLANDS LME
NC45770OtherBLUECROSSBLUESHIELD
NC45770OtherBLUECROSSBLUESHIELD