Grace Janove, MSW LCSW

Individual provider Active NPI Professional Counselor · Brattleboro, VT

NPI 1962838904 · NPPES record last updated Dec 12, 2019

Key facts

NPI
1962838904
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
0970134666 (VT)
Practice address
51 Fairview Street
Brattleboro, VT 05301-6629
Phone
(802) 254-6028
Fax
(802) 254-7501
NPI assigned
Sep 23, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0970134666VTMDProfessional Counselor
221702MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Health Care and Rehabilitation Services of Southeastern Vermont, Inc. Past
since Nov 17, 2019
Accepting new patients
Health Care and Rehabilitation Services of Southeastern Vermont, Inc. Past
since Nov 17, 2019
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 221702 MA
Student in an Organized Health Care Education/Training Program 390200000X
Professional Counselor 101YP2500X 0970134666 VT Yes

Addresses

Primary practice location

51 Fairview Street
Brattleboro, VT 05301-6629

Mailing address

390 River Street
Springfield, VT 05156-2226
Phone (802) 886-4500

Other names

  • Gray Janove Other name

Other providers in Brattleboro, VT

All providers in Brattleboro, VT · Professional Counselor in Vermont

Sources for this page

Verify at the official NPI Registry.