Provider Demographics
NPI:1588823926
Name:JUDGE, JOANNE MARION (LSW)
Entity Type:Individual
Prefix:MS
First Name:JOANNE
Middle Name:MARION
Last Name:JUDGE
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3218 PITTSTON AVE
Mailing Address - Street 2:SUITE 7
Mailing Address - City:SCRANTON
Mailing Address - State:PA
Mailing Address - Zip Code:18505-2964
Mailing Address - Country:US
Mailing Address - Phone:570-558-1303
Mailing Address - Fax:570-558-1304
Practice Address - Street 1:3218 PITTSTON AVE
Practice Address - Street 2:SUITE 7
Practice Address - City:SCRANTON
Practice Address - State:PA
Practice Address - Zip Code:18505-2964
Practice Address - Country:US
Practice Address - Phone:570-558-1303
Practice Address - Fax:570-558-1304
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-02
Last Update Date:2010-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW123898104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker