Provider Demographics
NPI:1023353240
Name:BADA, JANET MARIE (LCSW)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:MARIE
Last Name:BADA
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 1:7707 S ORANGE AVE # 593334
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32809-6705
Mailing Address - Country:US
Mailing Address - Phone:407-257-9712
Mailing Address - Fax:
Practice Address - Street 1:7707 S ORANGE AVE # 593334
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32809-6705
Practice Address - Country:US
Practice Address - Phone:407-257-9712
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-11-28
Last Update Date:2023-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW204601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical