Provider Demographics
NPI:1336159375
Name:JANET S. BEGER LCSW PC
Entity Type:Organization
Organization Name:JANET S. BEGER LCSW PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JANET
Authorized Official - Middle Name:S
Authorized Official - Last Name:BEGER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:815-227-4533
Mailing Address - Street 1:6066 STRATHMOOR DR
Mailing Address - Street 2:SUITE C
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61107-6633
Mailing Address - Country:US
Mailing Address - Phone:815-227-4533
Mailing Address - Fax:815-399-9306
Practice Address - Street 1:6066 STRATHMOOR DR
Practice Address - Street 2:SUITE C
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-6633
Practice Address - Country:US
Practice Address - Phone:815-227-4533
Practice Address - Fax:815-399-9306
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-09
Last Update Date:2007-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL335670Medicare ID - Type Unspecified