Provider Demographics
NPI:1639484488
Name:WEBNAR, JOSEPH (LISW)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:WEBNAR
Suffix:
Gender:M
Credentials:LISW
Other - Prefix:
Other - First Name:BURL
Other - Middle Name:
Other - Last Name:WEBNAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LISW
Mailing Address - Street 1:600 MONUMENT ST
Mailing Address - Street 2:SUITE 224 PARK PLAZA
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29646-2638
Mailing Address - Country:US
Mailing Address - Phone:864-227-3908
Mailing Address - Fax:864-227-2668
Practice Address - Street 1:600 MONUMENT ST
Practice Address - Street 2:SUITE 224 PARK PLAZA
Practice Address - City:GREENWOOD
Practice Address - State:SC
Practice Address - Zip Code:29646-2638
Practice Address - Country:US
Practice Address - Phone:864-227-3908
Practice Address - Fax:864-227-2668
Is Sole Proprietor?:No
Enumeration Date:2010-08-17
Last Update Date:2010-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC9337Medicare PIN