Individual
JANINE MALIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW
Contact information
Practice address
125 SCHNEIDER DR, LEBANON, PA 17046-4875
(717) 376-1020
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
SW124718
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104048687
—
PA
01
—
13661446
CAQH ID
—
01
—
SW124718
STATE LICENSE - SOCIAL WORKER
PA
Enumeration date
11/20/2015
Last updated
03/03/2025
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