=====================================================
General NPI Number Information
=====================================================
NPI Number | 1134080450
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | JANELLE BARTLEY
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/18/2025
-----------------------------------------------------
Last Update Date | 11/18/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 151 KNOLLCROFT RD
-----------------------------------------------------
City | LYONS
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 07939-5001
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-538-8361
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4 MARGARET ST
-----------------------------------------------------
City | PARLIN
-----------------------------------------------------
State | NJ
-----------------------------------------------------
Zip | 08859-1717
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 908-938-4778
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 104100000X
-----------------------------------------------------
Taxonomy Name | Social Worker
-----------------------------------------------------
License Number | 44SL06377200
-----------------------------------------------------
License Number State | NJ
-----------------------------------------------------