Provider Demographics
NPI:1306483219
Name:CHENG, JANET (LICSW)
Entity type:Individual
Prefix:
First Name:JANET
Middle Name:
Last Name:CHENG
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600B SW DASH POINT RD, PMB 113
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-7277
Mailing Address - Country:US
Mailing Address - Phone:206-395-6316
Mailing Address - Fax:206-826-2044
Practice Address - Street 1:325 TACOMA AVE S STE 2
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-2550
Practice Address - Country:US
Practice Address - Phone:206-395-6316
Practice Address - Fax:206-826-2044
Is Sole Proprietor?:No
Enumeration Date:2019-12-10
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW606415821041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical