Provider Demographics
NPI:1679704670
Name:CADET, JEANINE (LCSW-C, LICSW)
Entity type:Individual
Prefix:
First Name:JEANINE
Middle Name:
Last Name:CADET
Suffix:
Gender:F
Credentials:LCSW-C, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9926 GAY DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-4732
Mailing Address - Country:US
Mailing Address - Phone:301-877-7787
Mailing Address - Fax:
Practice Address - Street 1:9926 GAY DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-4732
Practice Address - Country:US
Practice Address - Phone:301-877-7787
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-07
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD109041041C0700X
DCLC3031851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical