Provider Demographics
NPI:1376726018
Name:NOLT, JOSEPH PAUL III (MSW, LSW)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:PAUL
Last Name:NOLT
Suffix:III
Gender:M
Credentials:MSW, LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 MIDWAY DR STE 3
Mailing Address - Street 2:
Mailing Address - City:HARRINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19952-2448
Mailing Address - Country:US
Mailing Address - Phone:800-818-8680
Mailing Address - Fax:800-818-8680
Practice Address - Street 1:1000 MIDWAY DR STE 3
Practice Address - Street 2:
Practice Address - City:HARRINGTON
Practice Address - State:DE
Practice Address - Zip Code:19952-2448
Practice Address - Country:US
Practice Address - Phone:800-818-8680
Practice Address - Fax:800-818-8680
Is Sole Proprietor?:No
Enumeration Date:2007-12-17
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW1258961041C0700X
DEQ1-00015311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA100775933Medicaid