Healthcare Provider Details

I. General information

NPI: 1699244962
Provider Name (Legal Business Name): JANELLE MURRAY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/16/2018
Last Update Date: 02/16/2025
Certification Date: 02/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

314 STEPHENSON AVE STE A
SAVANNAH GA
31405-4347
US

IV. Provider business mailing address

145 JENNIFER CIR
RINCON GA
31326-5706
US

V. Phone/Fax

Practice location:
  • Phone: 912-355-3881
  • Fax:
Mailing address:
  • Phone: 912-399-2840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW006593
License Number StateGA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: