Provider Demographics
NPI:1811406549
Name:PIERCE, JANET GORIN (LICSW)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:GORIN
Last Name:PIERCE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 TIDEWATER FARM RD
Mailing Address - Street 2:
Mailing Address - City:STRATHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03885-2147
Mailing Address - Country:US
Mailing Address - Phone:603-793-2138
Mailing Address - Fax:
Practice Address - Street 1:127 WATER ST FL 3
Practice Address - Street 2:
Practice Address - City:EXETER
Practice Address - State:NH
Practice Address - Zip Code:03833-2456
Practice Address - Country:US
Practice Address - Phone:603-418-4727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-26
Last Update Date:2017-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH16801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical