Doctor Name: | MS. JANET KATHERINE WORONICK |
NPI Number: | 1396995288 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW |
License Number: | 005489 |
Business Practice Address: | 29 Chesterfield Rd East Lyme, CT - 063331202 |
Business Phone Number: | 8607396974 |
Business Fax Number: | |
Mailing Address: | 29 Chesterfield Rd, EAST LYME |
State: | CT |
Postal Code: | 063331202 |
Phone Number: | 8607396974 |
Fax Number: | |
NPI Enumeration Date: | 09/26/2008 |
NPI Last Update Date: | 05/28/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 005489 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |