Basic Information
| Provider Information | |||||||||
| NPI: | 1326213810 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | CARDEN | ||||||||
| FirstName: | JANET | ||||||||
| MiddleName: | C | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | LCSW | ||||||||
| OtherOrganizationName: | |||||||||
| OtherOrganizationType: | |||||||||
| OtherLastName: | BLOUNT | ||||||||
| OtherFirstName: | JANET | ||||||||
| OtherMiddleName: | C | ||||||||
| OtherNamePrefix: | MS. | ||||||||
| OtherNameSuffix: | |||||||||
| OtherCredential: | LCSW | ||||||||
| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 861 CORPORATE DR | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405035432 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8592242022 | ||||||||
| FaxNumber: | 8592242024 | ||||||||
| Practice Location | |||||||||
| Address1: | 861 CORPORATE DR | ||||||||
| Address2: | SUITE 103 | ||||||||
| City: | LEXINGTON | ||||||||
| State: | KY | ||||||||
| PostalCode: | 405035432 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8592242022 | ||||||||
| FaxNumber: | 8592242024 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/25/2008 | ||||||||
| LastUpdateDate: | 04/25/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041C0700X | 1493 | KY | Y | Behavioral Health & Social Service Providers | Social Worker | Clinical |
No ID Information.