Provider Demographics
NPI:1316240559
Name:MOREY-SASSANO, JANEL (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JANEL
Middle Name:
Last Name:MOREY-SASSANO
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 1:1624 CARLYLE AVE # 391
Mailing Address - Street 2:
Mailing Address - City:BELLEVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62221-4558
Mailing Address - Country:US
Mailing Address - Phone:618-213-2442
Mailing Address - Fax:618-769-2161
Practice Address - Street 1:752 SEAGATE DR
Practice Address - Street 2:
Practice Address - City:O FALLON
Practice Address - State:IL
Practice Address - Zip Code:62269-6949
Practice Address - Country:US
Practice Address - Phone:618-213-2442
Practice Address - Fax:618-769-2161
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-09
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0235031041C0700X
NJ221773439101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health