Provider Demographics
NPI:1891053377
Name:LOPES, JOSEPH ANTHONY (LCSW)
Entity Type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ANTHONY
Last Name:LOPES
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:629 E DRINKER ST STE 2
Mailing Address - Street 2:DUNMORE PROFESSIONAL BUILDING
Mailing Address - City:DUNMORE
Mailing Address - State:PA
Mailing Address - Zip Code:18512-2549
Mailing Address - Country:US
Mailing Address - Phone:610-212-1744
Mailing Address - Fax:570-888-1459
Practice Address - Street 1:629 E. DRINKER STREET SECOND FLOOR
Practice Address - Street 2:DUNMORE PROFESSIONAL PLAZA
Practice Address - City:DUNMORE
Practice Address - State:PA
Practice Address - Zip Code:18512-1255
Practice Address - Country:US
Practice Address - Phone:610-212-1744
Practice Address - Fax:570-800-1459
Is Sole Proprietor?:Yes
Enumeration Date:2012-05-02
Last Update Date:2016-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0120981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical