Provider Demographics
NPI:1386136406
Name:SABOT, JANINE
Entity type:Individual
Prefix:
First Name:JANINE
Middle Name:
Last Name:SABOT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1816 ENGLISHTOWN RD STE 103
Mailing Address - Street 2:
Mailing Address - City:OLD BRIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08857-3903
Mailing Address - Country:US
Mailing Address - Phone:239-230-4363
Mailing Address - Fax:
Practice Address - Street 1:1816 ENGLISHTOWN RD STE 103
Practice Address - Street 2:
Practice Address - City:OLD BRIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08857-3903
Practice Address - Country:US
Practice Address - Phone:239-230-4363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-04
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ1042211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical