Provider Demographics
NPI:1063455269
Name:O'ROURKE, JOSEPH CHARLES (LCSW, BCD, CTS)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:CHARLES
Last Name:O'ROURKE
Suffix:
Gender:M
Credentials:LCSW, BCD, CTS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:118 AUTUMN TRL
Mailing Address - Street 2:
Mailing Address - City:COATESVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:19320-2096
Mailing Address - Country:US
Mailing Address - Phone:484-712-5036
Mailing Address - Fax:
Practice Address - Street 1:660 EXTON COMMONS
Practice Address - Street 2:EDGETTE & ASSOCIATES
Practice Address - City:EXTON
Practice Address - State:PA
Practice Address - Zip Code:19341
Practice Address - Country:US
Practice Address - Phone:610-363-8717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-14
Last Update Date:2010-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0152021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical