Provider Demographics
NPI:1083709646
Name:JOSEPH, MICHAEL PHILLIP (MSW, LCSW)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:PHILLIP
Last Name:JOSEPH
Suffix:
Gender:M
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:65 EAST ELIZABETH AVENUE
Mailing Address - Street 2:SUITE 117
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18018-6506
Mailing Address - Country:US
Mailing Address - Phone:610-865-1799
Mailing Address - Fax:610-865-1799
Practice Address - Street 1:65 EAST ELIZABETH AVENUE
Practice Address - Street 2:SUITE 117
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18018-6506
Practice Address - Country:US
Practice Address - Phone:610-865-1799
Practice Address - Fax:610-865-1799
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACWO138801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical