MEDICARE: JANET SMOAK HESS MSW,ACSW,LICSW/VT

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	089-0000807	VT

General Provider Information

NPI Number	:	1396824397
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANET SMOAK HESS MSW,ACSW,LICSW/VT

Provider Business Mailing Address
First Line	:	6417 NEWHALL RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28270-5917
Country	:	US
Telephone Number	:	704-366-1831
Fax Number	:

Provider Business Practice Location Address
First Line	:	6417 NEWHALL RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28270-5917
Country	:	US
Telephone Number	:	704-366-1831
Fax Number	:

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

Provider Enumeration Date	:	11/02/2006
Last Update Date	:	04/19/2026

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