Provider Demographics
NPI:1083209373
Name:MCCLATCHEY, JOSELYN A (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOSELYN
Middle Name:A
Last Name:MCCLATCHEY
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 1:127 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:HAWTHORNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07506-1744
Mailing Address - Country:US
Mailing Address - Phone:201-294-4998
Mailing Address - Fax:
Practice Address - Street 1:127 10TH AVE
Practice Address - Street 2:
Practice Address - City:HAWTHORNE
Practice Address - State:NJ
Practice Address - Zip Code:07506-1744
Practice Address - Country:US
Practice Address - Phone:201-294-4998
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-03-08
Last Update Date:2021-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical