Healthcare Provider Details

I. General information

NPI: 1215528666
Provider Name (Legal Business Name): JANICE LYNN HULST-MURPHY LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/28/2021
Last Update Date: 01/28/2021
Certification Date: 01/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 TOPAZ RUN
POUGHKEEPSIE NY
12603-1000
US

IV. Provider business mailing address

5 TOPAZ RUN
POUGHKEEPSIE NY
12603-1000
US

V. Phone/Fax

Practice location:
  • Phone: 845-453-9130
  • Fax:
Mailing address:
  • Phone: 845-453-9130
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: