Doctor Name: | MS. JANICE R KREUGER |
NPI Number: | 1164539185 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 149-001016 |
Business Practice Address: | 6 Emerald Ter Ste 4 Swansea, IL - 622262312 |
Business Phone Number: | 6182330500 |
Business Fax Number: | 6182337935 |
Mailing Address: | 6 Emerald Ter, St 4 SWANSEA |
State: | IL |
Postal Code: | 622262312 |
Phone Number: | 6182330500 |
Fax Number: | 6182337935 |
NPI Enumeration Date: | 08/24/2006 |
NPI Last Update Date: | 03/13/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149-001016 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |