Provider Demographics
NPI:1053451997
Name:LODOLCE, JOYCE M B (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOYCE
Middle Name:M B
Last Name:LODOLCE
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 1:310 N MATLACK ST
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:PA
Mailing Address - Zip Code:19380-2620
Mailing Address - Country:US
Mailing Address - Phone:610-696-4900
Mailing Address - Fax:610-696-4476
Practice Address - Street 1:310 N MATLACK ST
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:PA
Practice Address - Zip Code:19380-2620
Practice Address - Country:US
Practice Address - Phone:610-696-4900
Practice Address - Fax:610-696-4476
Is Sole Proprietor?:No
Enumeration Date:2007-02-08
Last Update Date:2008-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0134521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA081525KMBOtherMEDICARE