Provider Demographics
NPI:1992220016
Name:KNAUF, JANET CAROL (LSW)
Entity Type:Individual
Prefix:
First Name:JANET
Middle Name:CAROL
Last Name:KNAUF
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:107 ELIZABETH DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OH
Mailing Address - Zip Code:45133-7379
Mailing Address - Country:US
Mailing Address - Phone:937-422-0899
Mailing Address - Fax:937-393-9370
Practice Address - Street 1:338 W MAIN ST
Practice Address - Street 2:
Practice Address - City:HILLSBORO
Practice Address - State:OH
Practice Address - Zip Code:45133-1314
Practice Address - Country:US
Practice Address - Phone:937-422-0899
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-08-09
Last Update Date:2017-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0025270104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker