Provider Demographics
NPI:1851532394
Name:KLINE, JANET M (LCSW)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:M
Last Name:KLINE
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 1:225 BEATRICE PL
Mailing Address - Street 2:
Mailing Address - City:SOUTH PLAINFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07080-3965
Mailing Address - Country:US
Mailing Address - Phone:908-217-0982
Mailing Address - Fax:732-636-7025
Practice Address - Street 1:705 AMBOY AVE
Practice Address - Street 2:SUITE B
Practice Address - City:WOODBRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:07095-3160
Practice Address - Country:US
Practice Address - Phone:908-217-0982
Practice Address - Fax:732-218-8601
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-12
Last Update Date:2013-01-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC053677001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical