Provider Demographics
NPI:1952358905
Name:BEHNKE, JANET L (LCSW)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:L
Last Name:BEHNKE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11 SUMMIT TER
Mailing Address - Street 2:
Mailing Address - City:NORTH YARMOUTH
Mailing Address - State:ME
Mailing Address - Zip Code:04097-6053
Mailing Address - Country:US
Mailing Address - Phone:207-829-2864
Mailing Address - Fax:
Practice Address - Street 1:19 RIVER RD
Practice Address - Street 2:
Practice Address - City:HIRAM
Practice Address - State:ME
Practice Address - Zip Code:04041-3516
Practice Address - Country:US
Practice Address - Phone:207-625-3100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2009-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC72531041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical