Provider Demographics
NPI:1720110943
Name:GRINIS, JANET CHERYL (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:CHERYL
Last Name:GRINIS
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 1:165 13TH AVE
Mailing Address - Street 2:
Mailing Address - City:MADAWASKA
Mailing Address - State:ME
Mailing Address - Zip Code:04756-1289
Mailing Address - Country:US
Mailing Address - Phone:207-834-4470
Mailing Address - Fax:207-834-4473
Practice Address - Street 1:165 13TH AVE
Practice Address - Street 2:
Practice Address - City:MADAWASKA
Practice Address - State:ME
Practice Address - Zip Code:04756-1289
Practice Address - Country:US
Practice Address - Phone:207-834-4470
Practice Address - Fax:207-834-4473
Is Sole Proprietor?:No
Enumeration Date:2007-03-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC56771041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical