Provider Demographics
NPI:1598996217
Name:BEHAR, JOEL (LCSW, BCD, PHD)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:
Last Name:BEHAR
Suffix:
Gender:M
Credentials:LCSW, BCD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 DRESDEN CT W
Mailing Address - Street 2:
Mailing Address - City:GOSHEN
Mailing Address - State:CT
Mailing Address - Zip Code:06756-2130
Mailing Address - Country:US
Mailing Address - Phone:516-567-2827
Mailing Address - Fax:
Practice Address - Street 1:25 SOUTH ST
Practice Address - Street 2:
Practice Address - City:LITCHFIELD
Practice Address - State:CT
Practice Address - Zip Code:06759-4005
Practice Address - Country:US
Practice Address - Phone:516-567-2827
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-29
Last Update Date:2016-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR222301041C0700X
CT0092211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT009221OtherLICENSED CLINICAL SOCIAL WORKER, STATE OF CT, DEPARTMENT OF PUBLIC HEALTH
NYR22230OtherLICENSED CLINICAL SOCIAL WORKER, NYS EDUCATION DEPARTMENT