Provider Demographics
NPI:1013057462
Name:MENDELL, JANET G (LCSW)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:G
Last Name:MENDELL
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:G
Other - Last Name:BERTSCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 7
Mailing Address - Street 2:
Mailing Address - City:UKIAH
Mailing Address - State:CA
Mailing Address - Zip Code:95482-0007
Mailing Address - Country:US
Mailing Address - Phone:707-272-4531
Mailing Address - Fax:707-462-3253
Practice Address - Street 1:514 S SCHOOL ST
Practice Address - Street 2:
Practice Address - City:UKIAH
Practice Address - State:CA
Practice Address - Zip Code:95482-5438
Practice Address - Country:US
Practice Address - Phone:707-272-4531
Practice Address - Fax:707-462-3253
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2009-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 240891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical