Provider Demographics
NPI:1881401404
Name:MOREHOUSE, JANELLE PATTISON (LMSW)
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:PATTISON
Last Name:MOREHOUSE
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:NICHOLAS
Other - Middle Name:MOREHOUSE
Other - Last Name:PATTISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:1040 WASHINGTON AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12203-2117
Mailing Address - Country:US
Mailing Address - Phone:518-852-7489
Mailing Address - Fax:
Practice Address - Street 1:60 ACADEMY RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3103
Practice Address - Country:US
Practice Address - Phone:518-952-9032
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-17
Last Update Date:2024-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY111452104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker