Provider Demographics
NPI:1679045058
Name:PAINTSIL, JOSEPH (MSW, MFCT)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:PAINTSIL
Suffix:
Gender:M
Credentials:MSW, MFCT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1049 PINE AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-3623
Mailing Address - Country:US
Mailing Address - Phone:908-967-2277
Mailing Address - Fax:
Practice Address - Street 1:1049 PINE AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-3623
Practice Address - Country:US
Practice Address - Phone:908-967-2277
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-22
Last Update Date:2018-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker