Provider Demographics
NPI:1861413122
Name:BEGER, JANET S (MSW, LCSW,)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:S
Last Name:BEGER
Suffix:
Gender:F
Credentials:MSW, LCSW,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6066 STRATHMOOR DR
Mailing Address - Street 2:SUITE 3C
Mailing Address - City:ROCKFORD
Mailing Address - State:IL
Mailing Address - Zip Code:61107-6633
Mailing Address - Country:US
Mailing Address - Phone:815-227-4533
Mailing Address - Fax:815-399-9306
Practice Address - Street 1:6066 STRATHMOOR DR
Practice Address - Street 2:SUITE 3C
Practice Address - City:ROCKFORD
Practice Address - State:IL
Practice Address - Zip Code:61107-6633
Practice Address - Country:US
Practice Address - Phone:815-227-4533
Practice Address - Fax:815-399-9306
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL335670Medicare ID - Type Unspecified