Provider Demographics
NPI:1679855225
Name:JOSEPH, JACLYN (MSW)
Entity Type:Individual
Prefix:
First Name:JACLYN
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 879
Mailing Address - Street 2:
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-0879
Mailing Address - Country:US
Mailing Address - Phone:724-850-8118
Mailing Address - Fax:724-850-9500
Practice Address - Street 1:400 OAKBROOK DR
Practice Address - Street 2:
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-6403
Practice Address - Country:US
Practice Address - Phone:724-850-8118
Practice Address - Fax:724-850-9500
Is Sole Proprietor?:No
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker