MEDICARE: MS. JANET TREANOR LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	1029743	MA
2	163WC1500X	Community Health Registered Nurse	RN106120	MA

General Provider Information

NPI Number	:	1568485340
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANET TREANOR LICSW

Provider Business Mailing Address
First Line	:	16 GRIST MILL RD
Second Line	:
City	:	HARWICH
State	:	MA
Zip	:	02645-1422
Country	:	US
Telephone Number	:	508-428-3698
Fax Number	:	508-428-0005

Provider Business Practice Location Address
First Line	:	230 COTUIT RD
Second Line	:
City	:	MARSTONS MILLS
State	:	MA
Zip	:	02648-1834
Country	:	US
Telephone Number	:	508-428-3698
Fax Number	:	508-428-0005

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2006
Last Update Date	:	01/28/2013

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