Provider Demographics
NPI:1871067637
Name:ROSS, JANET KATHRYN (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:KATHRYN
Last Name:ROSS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1612 FRONT ST
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59101-8915
Mailing Address - Country:US
Mailing Address - Phone:406-530-5227
Mailing Address - Fax:
Practice Address - Street 1:1500 POLY DR STE 106
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-1748
Practice Address - Country:US
Practice Address - Phone:406-530-5227
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-15
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT440491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical