Provider Demographics
NPI:1134267685
Name:FARLEY, JANET (LICSW)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:
Last Name:FARLEY
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:120 DAIRY LN
Mailing Address - Street 2:
Mailing Address - City:WINDSOR
Mailing Address - State:VT
Mailing Address - Zip Code:05089-7615
Mailing Address - Country:US
Mailing Address - Phone:802-674-6065
Mailing Address - Fax:
Practice Address - Street 1:120 DAIRY LN
Practice Address - Street 2:
Practice Address - City:WINDSOR
Practice Address - State:VT
Practice Address - Zip Code:05089-7615
Practice Address - Country:US
Practice Address - Phone:802-674-6065
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-04
Last Update Date:2015-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT089 00003651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical