Provider Demographics
NPI:1811276215
Name:REESE, JANEL MELINKOVICH (LCSW)
Entity type:Individual
Prefix:
First Name:JANEL
Middle Name:MELINKOVICH
Last Name:REESE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JANEL
Other - Middle Name:ANN
Other - Last Name:MELINKOVICH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 1842
Mailing Address - Street 2:
Mailing Address - City:CHEYENNE
Mailing Address - State:WY
Mailing Address - Zip Code:82003-1842
Mailing Address - Country:US
Mailing Address - Phone:503-720-8648
Mailing Address - Fax:
Practice Address - Street 1:623 W 20TH ST
Practice Address - Street 2:
Practice Address - City:CHEYENNE
Practice Address - State:WY
Practice Address - Zip Code:82001-3501
Practice Address - Country:US
Practice Address - Phone:307-222-9651
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-16
Last Update Date:2023-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WYLCSW-9331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical