Doctor Name: | MS. JANICE CECILE ANGELO |
NPI Number: | 1649340597 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW ,LCSW-R |
License Number: | R048242-1 |
Business Practice Address: | 13000 Main Rd Mattituck, NY - 119523206 |
Business Phone Number: | 6312985376 |
Business Fax Number: | |
Mailing Address: | 901 Bluffs Dr N, CALVERTON |
State: | NY |
Postal Code: | 119331299 |
Phone Number: | 6312985376 |
Fax Number: | |
NPI Enumeration Date: | 11/08/2006 |
NPI Last Update Date: | 04/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | R048242-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |