Provider Demographics
NPI:1356588321
Name:CHEN, JANET WHEATLEY (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:WHEATLEY
Last Name:CHEN
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 1:1287 HICKENLOOPER WAY
Mailing Address - Street 2:
Mailing Address - City:DRAPER
Mailing Address - State:UT
Mailing Address - Zip Code:84020-7546
Mailing Address - Country:US
Mailing Address - Phone:801-597-3918
Mailing Address - Fax:801-523-9606
Practice Address - Street 1:12660 FORT ST
Practice Address - Street 2:SUITE 103
Practice Address - City:DRAPER
Practice Address - State:UT
Practice Address - Zip Code:84020-9303
Practice Address - Country:US
Practice Address - Phone:801-597-3918
Practice Address - Fax:801-523-9606
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-13
Last Update Date:2009-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14162335011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical