Janice Annette Lundeen, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

008823 Issued in GA

Practice address

2275 W Broadway St.
Suite G.
Idaho Falls, ID 83402-2902

Phone

(208) 524-7400

Fax

(208) 534-5715

NPI assigned

May 27, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Utah Counseling Center

  • Counselor
  • Ephraim, UT
  • NPI 1639185424

  Mental Health

  NPD (past)
• Central Utah Mental Health Substance Abuse

  • Mental Health Counselor
  • Richfield, UT
  • NPI 1639184179
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697414400000",
    "number": "1699722546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 VIRGINIA ST",
            "city": "PHENIX CITY",
            "state": "AL",
            "postal_code": "368695436",
            "telephone_number": "406-250-9574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 W BROADWAY ST.",
            "address_2": "SUITE G.",
            "city": "IDAHO FALLS",
            "state": "ID",
            "postal_code": "834022902",
            "telephone_number": "208-524-7400",
            "fax_number": "208-534-5715"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2 Virginia St",
            "address_purpose": "LOCATION",
            "city": "Phenix City",
            "state": "AL",
            "postal_code": "368695436",
            "country_code": "US",
            "telephone_number": "406-250-5974",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUNDEEN",
        "first_name": "JANICE",
        "middle_name": "ANNETTE",
        "name_prefix": "Ms.",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2023-10-16",
        "certification_date": "2023-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "ID",
            "license": "LMSW-41069",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "008823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Luke & Spencer Behavioral Health PLLC
• Lloyd Cody Luke, B.S.
• Luminous Wisdom Sandplay Therapy and Counseling PLLC
• E Jolene Lund, AUD
• Kelsi Lund, MS, CCC-SLP
• Martin Peter Lundell, O.D.
• Sarah Lupinski, LPC
• Christine J Lurus, RPH
• Luxottica of America Inc.
• Luxottica Retail North America Inc

• Clinical Social Worker in Idaho Falls, ID
• Providers in Idaho Falls, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.