Provider Demographics
NPI:1245446855
Name:RAINVILLE, JANET LEE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:LEE
Last Name:RAINVILLE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:709 DAVIS PLACE RD
Mailing Address - Street 2:
Mailing Address - City:MOUNT SHASTA
Mailing Address - State:CA
Mailing Address - Zip Code:96067-9019
Mailing Address - Country:US
Mailing Address - Phone:530-261-0840
Mailing Address - Fax:
Practice Address - Street 1:709 DAVIS PLACE RD
Practice Address - Street 2:
Practice Address - City:MOUNT SHASTA
Practice Address - State:CA
Practice Address - Zip Code:96067-9019
Practice Address - Country:US
Practice Address - Phone:530-261-0840
Practice Address - Fax:530-918-9035
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-14
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS 123441041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical