Provider Demographics
NPI:1982930962
Name:CASTELLINI, JANET AMANDA (MSS, LCSW)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:AMANDA
Last Name:CASTELLINI
Suffix:
Gender:F
Credentials:MSS, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 WAVERLY ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19146-1633
Mailing Address - Country:US
Mailing Address - Phone:609-504-2522
Mailing Address - Fax:215-732-8454
Practice Address - Street 1:100 HADDONTOWNE CT
Practice Address - Street 2:
Practice Address - City:CHERRY HILL
Practice Address - State:NJ
Practice Address - Zip Code:08034-3602
Practice Address - Country:US
Practice Address - Phone:609-504-2522
Practice Address - Fax:856-427-0089
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-26
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC054281001041C0700X
PACW0163871041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ37LC00184100OtherNJ OFC OF THE ATTORNEY GENERAL DIV OF CONSUMER AFFAIRS
PACW016387OtherCOMMONWEALTH OF PA DEPT OF STATE BUR OF PROF AND OCCUPATIONAL AFFAIRS
2602881OtherHIGHMARK
NJ44SC05428100OtherNJ OFC OF THE ATTORNEY GENERAL DIV OF CONSUMER AFFAIRS
9823682OtherAETNA