Provider Demographics
NPI:1891935110
Name:SHELTON, JANICE L S (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:JANICE
Middle Name:L S
Last Name:SHELTON
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:INNERVISION THERAPY, LLC
Mailing Address - Street 2:1117 WOODWARD DRIVE, SUITE 4
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-0879
Mailing Address - Country:US
Mailing Address - Phone:724-834-0432
Mailing Address - Fax:888-972-1731
Practice Address - Street 1:INNERVISION THERAPY, LLC
Practice Address - Street 2:1117 WOODWARD DRIVE, SUITE 4
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-0879
Practice Address - Country:US
Practice Address - Phone:724-834-0432
Practice Address - Fax:888-972-1731
Is Sole Proprietor?:No
Enumeration Date:2009-02-26
Last Update Date:2016-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA270836ZD4HOtherCMS/CENTERS FOR MEDICARE AND MEDICAID SERVICES - NOVITAS SOLUTIONS