Doctor Name: | MS. JANET SUE STORM |
NPI Number: | 1003827882 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, LMFT |
License Number: | 34000823 |
Business Practice Address: | 1602 W Smith Valley Rd # 6 Greenwood, IN - 461421550 |
Business Phone Number: | 3178650183 |
Business Fax Number: | 3178857137 |
Mailing Address: | Po Box 47461, INDIANAPOLIS |
State: | IN |
Postal Code: | 462470461 |
Phone Number: | 3178650183 |
Fax Number: | 3178857137 |
NPI Enumeration Date: | 08/10/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 34000823 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |