Provider Demographics
NPI:1407230584
Name:JOSEPH-PHIPPS, AFRILASIA (MSW)
Entity Type:Individual
Prefix:
First Name:AFRILASIA
Middle Name:
Last Name:JOSEPH-PHIPPS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15512 CASULAS WAY
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-5378
Mailing Address - Country:US
Mailing Address - Phone:301-537-8775
Mailing Address - Fax:
Practice Address - Street 1:15512 CASULAS WAY
Practice Address - Street 2:
Practice Address - City:LAUREL
Practice Address - State:MD
Practice Address - Zip Code:20707-5378
Practice Address - Country:US
Practice Address - Phone:301-537-8775
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-17
Last Update Date:2015-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG101762104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker