Provider Demographics
NPI:1598824666
Name:FARONE, JOSEPH (LCSW, CEAP, SAP)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:FARONE
Suffix:
Gender:M
Credentials:LCSW, CEAP, SAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:325 NE 28TH ST
Mailing Address - Street 2:
Mailing Address - City:WILTON MANORS
Mailing Address - State:FL
Mailing Address - Zip Code:33334-2031
Mailing Address - Country:US
Mailing Address - Phone:954-547-4426
Mailing Address - Fax:
Practice Address - Street 1:1919 NE 45TH ST
Practice Address - Street 2:STE 122
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33308-5131
Practice Address - Country:US
Practice Address - Phone:954-547-4426
Practice Address - Fax:954-776-7160
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-06
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW110791041C0700X
MD12525101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health