Provider Demographics
NPI:1750573630
Name:POSIN, JAN BARBARA (LCSW, MSW, MS)
Entity type:Individual
Prefix:MRS
First Name:JAN
Middle Name:BARBARA
Last Name:POSIN
Suffix:
Gender:F
Credentials:LCSW, MSW, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9853 E MIRASOL CIR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85260-2192
Mailing Address - Country:US
Mailing Address - Phone:480-628-9473
Mailing Address - Fax:480-473-2014
Practice Address - Street 1:9853 E MIRASOL CIR
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85260-2192
Practice Address - Country:US
Practice Address - Phone:480-628-9473
Practice Address - Fax:480-473-2014
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-14
Last Update Date:2007-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLCSW-102471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical