Provider Demographics
NPI:1780658971
Name:ISBELL, JANET MARIE (MSW, LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:MARIE
Last Name:ISBELL
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4585 WASHINGTON ST
Mailing Address - Street 2:SUITE A4
Mailing Address - City:FLORISSANT
Mailing Address - State:MO
Mailing Address - Zip Code:63033-5858
Mailing Address - Country:US
Mailing Address - Phone:314-837-0000
Mailing Address - Fax:314-837-0002
Practice Address - Street 1:4585 WASHINGTON ST
Practice Address - Street 2:SUITE A4
Practice Address - City:FLORISSANT
Practice Address - State:MO
Practice Address - Zip Code:63033-5858
Practice Address - Country:US
Practice Address - Phone:314-837-0000
Practice Address - Fax:314-837-0002
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2010-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO497505800Medicaid
MO497505800Medicaid