Provider Demographics
NPI:1649352576
Name:ORLECK, JAN C (LCSW, CCM)
Entity type:Individual
Prefix:MS
First Name:JAN
Middle Name:C
Last Name:ORLECK
Suffix:
Gender:F
Credentials:LCSW, CCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:405 PARK CIRCLE
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37205-2315
Mailing Address - Country:US
Mailing Address - Phone:615-292-7047
Mailing Address - Fax:615-460-7244
Practice Address - Street 1:405 PARK CIRCLE
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37205-2315
Practice Address - Country:US
Practice Address - Phone:615-292-7047
Practice Address - Fax:615-460-7244
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN4691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical