Provider Demographics
NPI:1962703603
Name:FLOYD, JANELLE L (LCSW)
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:L
Last Name:FLOYD
Suffix:
Gender:
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2250 FLORIDA AVE
Mailing Address - Street 2:
Mailing Address - City:MARTINSVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46151-8600
Mailing Address - Country:US
Mailing Address - Phone:615-496-8702
Mailing Address - Fax:
Practice Address - Street 1:2250 FLORIDA AVE
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:IN
Practice Address - Zip Code:46151-8600
Practice Address - Country:US
Practice Address - Phone:615-496-8702
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-11
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN34006119A1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN210870001Medicare PIN
INM400034106Medicare PIN