MEDICARE: MS. JANET LOUISE JAMISON LCSW

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	C002475	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	62-95637	OTHER	NC	UNITED HEALTH CARE
2	191192	OTHER	NC	COMPSYCH
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	36223	OTHER	NC	WESTERN HIGHLANDS LME
5	45770	OTHER	NC	BLUECROSSBLUESHIELD

General Provider Information

NPI Number	:	1639160971
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JANET LOUISE JAMISON LCSW

Provider Business Mailing Address
First Line	:	84 LAWRENCE RD
Second Line	:
City	:	FLETCHER
State	:	NC
Zip	:	28732-9102
Country	:	US
Telephone Number	:	828-628-0277
Fax Number	:

Provider Business Practice Location Address
First Line	:	84 LAWRENCE RD
Second Line	:
City	:	FLETCHER
State	:	NC
Zip	:	28732-9102
Country	:	US
Telephone Number	:	828-628-0277
Fax Number	:

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

Provider Enumeration Date	:	11/04/2005
Last Update Date	:	07/09/2007

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