Provider Demographics
NPI:1972921609
Name:DUTTON, JANET LEE (MSSA, LISW-S)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:LEE
Last Name:DUTTON
Suffix:
Gender:F
Credentials:MSSA, LISW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24500 CENTER RIDGE RD.
Mailing Address - Street 2:SUITE 187
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-5642
Mailing Address - Country:US
Mailing Address - Phone:440-755-0026
Mailing Address - Fax:
Practice Address - Street 1:24500 CENTER RIDGE RD.
Practice Address - Street 2:SUITE 187
Practice Address - City:WESTLAKE
Practice Address - State:OH
Practice Address - Zip Code:44145-5642
Practice Address - Country:US
Practice Address - Phone:440-755-0026
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-31
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.1440134101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical