Provider Demographics
NPI:1487699708
Name:JAMES, JANET LYNNE (LCSW)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:LYNNE
Last Name:JAMES
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JANET
Other - Middle Name:LYNNE
Other - Last Name:BUSENBARK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:503 ELDORADO DR
Mailing Address - Street 2:
Mailing Address - City:BELTON
Mailing Address - State:MO
Mailing Address - Zip Code:64012-2981
Mailing Address - Country:US
Mailing Address - Phone:816-726-6921
Mailing Address - Fax:816-322-8536
Practice Address - Street 1:1311 SANDERS ST
Practice Address - Street 2:
Practice Address - City:HARRISONVILLE
Practice Address - State:MO
Practice Address - Zip Code:64701-3035
Practice Address - Country:US
Practice Address - Phone:816-726-6921
Practice Address - Fax:816-322-8536
Is Sole Proprietor?:No
Enumeration Date:2006-06-19
Last Update Date:2009-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20050336651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO496229600Medicaid
36669012OtherBLUE CROSS BLUE SHIELD