Provider Demographics
NPI:1588625669
Name:CARWITHEN, JOANNE M (LPCC LSW)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:M
Last Name:CARWITHEN
Suffix:
Gender:F
Credentials:LPCC LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1704 NORTH ROAD SE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484
Mailing Address - Country:US
Mailing Address - Phone:330-856-4111
Mailing Address - Fax:330-856-5839
Practice Address - Street 1:1704 NORTH ROAD SE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484
Practice Address - Country:US
Practice Address - Phone:330-856-4111
Practice Address - Fax:330-856-5839
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE3306101YP2500X
OHS00019623104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered104100000XBehavioral Health & Social Service ProvidersSocial Worker