MEDICARE: JANET ENGELGAU LMSW

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	104100000X	Social Worker	41114	TX

General Provider Information

NPI Number	:	1184860058
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET ENGELGAU LMSW

Provider Business Mailing Address
First Line	:	3400 EDLOE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77027-6500
Country	:	US
Telephone Number	:	812-483-7276
Fax Number	:

Provider Business Practice Location Address
First Line	:	4414 OLD YALE ST
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77018-4506
Country	:	US
Telephone Number	:	812-483-7276
Fax Number	:

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

Provider Enumeration Date	:	12/26/2008
Last Update Date	:	05/12/2010

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