Provider Demographics
NPI:1023328366
Name:JANIAK, BRIGID M (LCSW)
Entity type:Individual
Prefix:MRS
First Name:BRIGID
Middle Name:M
Last Name:JANIAK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1655 NORTH ARLINGTON HEIGHTS ROAD, SUITE 304-E
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-3978
Mailing Address - Country:US
Mailing Address - Phone:847-670-0880
Mailing Address - Fax:847-670-1268
Practice Address - Street 1:1655 NORTH ARLINGTON HEIGHTS ROAD, SUITE 304-E
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004
Practice Address - Country:US
Practice Address - Phone:847-670-0880
Practice Address - Fax:847-670-1268
Is Sole Proprietor?:No
Enumeration Date:2010-10-20
Last Update Date:2016-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0147161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical