Provider Demographics
NPI:1902927601
Name:CERNY, JANET E (MSW LCW)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:E
Last Name:CERNY
Suffix:
Gender:F
Credentials:MSW LCW
Other - Prefix:
Other - First Name:JAN
Other - Middle Name:
Other - Last Name:CERNY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:412 66TH ST
Mailing Address - Street 2:
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60516
Mailing Address - Country:US
Mailing Address - Phone:630-964-0730
Mailing Address - Fax:
Practice Address - Street 1:432 59TH ST
Practice Address - Street 2:
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60516
Practice Address - Country:US
Practice Address - Phone:630-964-0730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical