Provider Demographics
NPI:1972557726
Name:HALL, JANET K (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:K
Last Name:HALL
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 1:110 WILLIAMS ST
Mailing Address - Street 2:
Mailing Address - City:HENDERSONVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28792-4543
Mailing Address - Country:US
Mailing Address - Phone:828-699-3474
Mailing Address - Fax:828-696-1538
Practice Address - Street 1:110 WILLIAMS ST
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28792-4543
Practice Address - Country:US
Practice Address - Phone:828-699-3474
Practice Address - Fax:828-692-7300
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-19
Last Update Date:2017-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0036051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6002777Medicaid
NC600Z777Medicaid
NC6002777Medicaid