Provider Demographics
NPI:1023294576
Name:BISHOP, JANUARY RITA (EDD; MSW)
Entity type:Individual
Prefix:MS
First Name:JANUARY
Middle Name:RITA
Last Name:BISHOP
Suffix:
Gender:F
Credentials:EDD; MSW
Other - Prefix:
Other - First Name:JANUARY
Other - Middle Name:
Other - Last Name:GRIFFIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:923 CONTRA COSTA DR
Mailing Address - Street 2:
Mailing Address - City:EL CERRITO
Mailing Address - State:CA
Mailing Address - Zip Code:94530-3042
Mailing Address - Country:US
Mailing Address - Phone:510-524-7988
Mailing Address - Fax:
Practice Address - Street 1:923 CONTRA COSTA DR
Practice Address - Street 2:
Practice Address - City:EL CERRITO
Practice Address - State:CA
Practice Address - Zip Code:94530-3042
Practice Address - Country:US
Practice Address - Phone:510-524-7988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-15
Last Update Date:2008-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA119001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical