Provider Demographics
NPI:1508649898
Name:JOSEPH, HADASSAH (MSW)
Entity Type:Individual
Prefix:MRS
First Name:HADASSAH
Middle Name:
Last Name:JOSEPH
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 1:2240 STONEY POINT FARM RD
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-7868
Mailing Address - Country:US
Mailing Address - Phone:678-707-3056
Mailing Address - Fax:
Practice Address - Street 1:286 S MAIN ST STE 100-200
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30009-7914
Practice Address - Country:US
Practice Address - Phone:678-748-3734
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-18
Last Update Date:2023-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA104100000X
1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
No1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical