Provider Demographics
NPI:1083207559
Name:JOSEPH, ARLENE (LSW)
Entity Type:Individual
Prefix:
First Name:ARLENE
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:ARLENE
Other - Middle Name:
Other - Last Name:JOSEPH-YOUNGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:83 KEARNEY AVE
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07305-3710
Mailing Address - Country:US
Mailing Address - Phone:551-998-6164
Mailing Address - Fax:
Practice Address - Street 1:83 KEARNEY AVE
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07305-3710
Practice Address - Country:US
Practice Address - Phone:551-998-6164
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-02-16
Last Update Date:2021-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101YM0800X
NJSW-GTL-20-01599104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health