Provider Demographics
NPI:1063436228
Name:METCALF, JANET BENNION
Entity type:Individual
Prefix:MRS
First Name:JANET
Middle Name:BENNION
Last Name:METCALF
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:JANET
Other - Middle Name:ELIZABETH
Other - Last Name:BENNION
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:9465 S 2805 W
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-3301
Mailing Address - Country:US
Mailing Address - Phone:801-254-9922
Mailing Address - Fax:
Practice Address - Street 1:8915 S 700 E STE 203
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84070-2422
Practice Address - Country:US
Practice Address - Phone:801-938-5151
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2009-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT5331976-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical