Janice M Lavine, PH.D.

Primary specialty

Social WorkerTaxonomy code 104100000X

License

6676 Issued in MN

Practice address

5001 American Blvd W
990
Bloomington, MN 55437-1108

Phone

(952) 897-0506

NPI assigned

Apr 10, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Jan M Lavine Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1073736831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 AMERICAN BLVD W",
            "address_2": "990",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371108",
            "telephone_number": "952-897-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5001 AMERICAN BLVD W",
            "address_2": "990",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554371108",
            "telephone_number": "952-897-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAVINE",
        "first_name": "JANICE",
        "middle_name": "M",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-10",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MN",
            "license": "6676",
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "MN",
            "license": "266",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAN",
            "last_name": "LAVINE",
            "middle_name": "M",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Rachael Ann Latchana
• Nicole Latzig, OTR/L
• Kara Joelle Lauer, PA-C, LAT, ATC
• Richard M Launer, MD
• Candace S Lautt
• Jivony W Law, RPH
• Jared Cole Lawrence, PHARMD
• Karen Lawson, MD
• Zakaria D Layan
• Ann Elizabeth Layne, PH.D.

• Social Worker in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.