Provider Demographics
NPI:1033282611
Name:POWELL-SMITH, JOANNE (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:
Last Name:POWELL-SMITH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:319 PROSPECT RD
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN TOP
Mailing Address - State:PA
Mailing Address - Zip Code:18707-9137
Mailing Address - Country:US
Mailing Address - Phone:570-868-0935
Mailing Address - Fax:
Practice Address - Street 1:319 PROSPECT RD
Practice Address - Street 2:
Practice Address - City:MOUNTAIN TOP
Practice Address - State:PA
Practice Address - Zip Code:18707-9137
Practice Address - Country:US
Practice Address - Phone:570-814-5841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-15
Last Update Date:2012-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW156691041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical