Provider Demographics
NPI:1750837530
Name:HADAR, JANINE (LCSW)
Entity Type:Individual
Prefix:
First Name:JANINE
Middle Name:
Last Name:HADAR
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 1:21689 WESSEX WAY
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486-8622
Mailing Address - Country:US
Mailing Address - Phone:954-701-7135
Mailing Address - Fax:561-637-7433
Practice Address - Street 1:7100 CAMINO REAL STE 302
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-5510
Practice Address - Country:US
Practice Address - Phone:954-701-7135
Practice Address - Fax:561-852-2107
Is Sole Proprietor?:No
Enumeration Date:2016-08-31
Last Update Date:2019-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW138271041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical