Provider Demographics
NPI:1891239828
Name:ARNOLD, JOAN IRIS (MSW, LCSW)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:IRIS
Last Name:ARNOLD
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:81 HICKORY ST
Mailing Address - Street 2:
Mailing Address - City:BLAUVELT
Mailing Address - State:NY
Mailing Address - Zip Code:10913-1910
Mailing Address - Country:US
Mailing Address - Phone:201-390-5795
Mailing Address - Fax:
Practice Address - Street 1:81 HICKORY ST
Practice Address - Street 2:
Practice Address - City:BLAUVELT
Practice Address - State:NY
Practice Address - Zip Code:10913-1910
Practice Address - Country:US
Practice Address - Phone:201-390-5795
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-09
Last Update Date:2023-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
NY104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker