Provider Demographics
NPI:1598436891
Name:STEENBERGEN, JANELLE (SOCIAL WORKER)
Entity type:Individual
Prefix:
First Name:JANELLE
Middle Name:
Last Name:STEENBERGEN
Suffix:
Gender:F
Credentials:SOCIAL WORKER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2505 E GERMANN RD
Mailing Address - Street 2:
Mailing Address - City:SAN TAN VALLEY
Mailing Address - State:AZ
Mailing Address - Zip Code:85140-8913
Mailing Address - Country:US
Mailing Address - Phone:480-882-3540
Mailing Address - Fax:
Practice Address - Street 1:2505 E GERMANN RD
Practice Address - Street 2:
Practice Address - City:SAN TAN VALLEY
Practice Address - State:AZ
Practice Address - Zip Code:85140-8913
Practice Address - Country:US
Practice Address - Phone:480-882-3540
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-26
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ72212311041S0200X
104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool