Provider Demographics
NPI:1205684594
Name:WARD, JANINE (MSW, LCSW)
Entity type:Individual
Prefix:
First Name:JANINE
Middle Name:
Last Name:WARD
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 LAKESIDE DR
Mailing Address - Street 2:
Mailing Address - City:TOLLAND
Mailing Address - State:MA
Mailing Address - Zip Code:01034-9460
Mailing Address - Country:US
Mailing Address - Phone:508-259-4705
Mailing Address - Fax:
Practice Address - Street 1:16 LAKESIDE DR
Practice Address - Street 2:
Practice Address - City:TOLLAND
Practice Address - State:MA
Practice Address - Zip Code:01034-9460
Practice Address - Country:US
Practice Address - Phone:508-259-4705
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA230523104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker