Provider Demographics
NPI:1780923250
Name:KAZENEL, JANET LOUISE (MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:LOUISE
Last Name:KAZENEL
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 S MAIN ST UNIT 531
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-5824
Mailing Address - Country:US
Mailing Address - Phone:781-840-5013
Mailing Address - Fax:973-255-4800
Practice Address - Street 1:23 PLEASANT PARK RD
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-2539
Practice Address - Country:US
Practice Address - Phone:781-840-5013
Practice Address - Fax:973-255-4800
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-04
Last Update Date:2022-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC04514400104100000X, 1041C0700X
MA1183261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker