Provider Demographics
NPI:1720274103
Name:GIRARD, JANICE C (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:JANICE
Middle Name:C
Last Name:GIRARD
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-2530
Mailing Address - Country:US
Mailing Address - Phone:508-856-7373
Mailing Address - Fax:508-856-9481
Practice Address - Street 1:120 GRANITE ST
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01604-4501
Practice Address - Country:US
Practice Address - Phone:508-856-7373
Practice Address - Fax:508-856-9481
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10249421041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical