Provider Demographics
NPI:1922262583
Name:CRONEIS, JANELL J (LISW)
Entity Type:Individual
Prefix:
First Name:JANELL
Middle Name:J
Last Name:CRONEIS
Suffix:
Gender:F
Credentials:LISW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:354 ARCH DR
Mailing Address - Street 2:
Mailing Address - City:BUCYRUS
Mailing Address - State:OH
Mailing Address - Zip Code:44820-3407
Mailing Address - Country:US
Mailing Address - Phone:419-562-3997
Mailing Address - Fax:419-462-8011
Practice Address - Street 1:354 ARCH DR
Practice Address - Street 2:
Practice Address - City:BUCYRUS
Practice Address - State:OH
Practice Address - Zip Code:44820-3407
Practice Address - Country:US
Practice Address - Phone:419-562-3997
Practice Address - Fax:419-281-4605
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-14
Last Update Date:2013-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHS.0019807104100000X
OHI.11000711041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker