Doctor Name: | JANET G MENDELL |
NPI Number: | 1013057462 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | LCS 24089 |
Business Practice Address: | 514 S School St Ukiah, CA - 954825438 |
Business Phone Number: | 7072724531 |
Business Fax Number: | 7074623253 |
Mailing Address: | Po Box 7, UKIAH |
State: | CA |
Postal Code: | 954820007 |
Phone Number: | 7072724531 |
Fax Number: | 7074623253 |
NPI Enumeration Date: | 02/07/2007 |
NPI Last Update Date: | 08/03/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCS 24089 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |