Provider Demographics
NPI:1073887840
Name:ANASTASIO, JOSEPH F (LCSW-C)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:F
Last Name:ANASTASIO
Suffix:
Gender:M
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5107 PLYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21214-2152
Mailing Address - Country:US
Mailing Address - Phone:410-804-6407
Mailing Address - Fax:
Practice Address - Street 1:5107 PLYMOUTH RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21214-2152
Practice Address - Country:US
Practice Address - Phone:410-804-6407
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-26
Last Update Date:2012-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD177041041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical