Provider Demographics
NPI:1790165066
Name:HAYWOOD, JANET SCOGGINS
Entity Type:Individual
Prefix:MRS
First Name:JANET
Middle Name:SCOGGINS
Last Name:HAYWOOD
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:JANET
Other - Middle Name:ANN
Other - Last Name:SCOGGINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:984 CLOVERLEAF PLZ
Mailing Address - Street 2:
Mailing Address - City:KANNAPOLIS
Mailing Address - State:NC
Mailing Address - Zip Code:28083-6981
Mailing Address - Country:US
Mailing Address - Phone:704-721-5551
Mailing Address - Fax:
Practice Address - Street 1:984 CLOVERLEAF PLZ
Practice Address - Street 2:
Practice Address - City:KANNAPOLIS
Practice Address - State:NC
Practice Address - Zip Code:28083-6981
Practice Address - Country:US
Practice Address - Phone:704-721-5551
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-06-02
Last Update Date:2015-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0087811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical