Provider Demographics
NPI:1295958957
Name:JOSEPH, EILEEN (LCSW, CSW-G, QDCS)
Entity type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:LCSW, CSW-G, QDCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 ELBOW LN
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-3231
Mailing Address - Country:US
Mailing Address - Phone:215-855-6669
Mailing Address - Fax:
Practice Address - Street 1:75 ELBOW LN
Practice Address - Street 2:
Practice Address - City:LANSDALE
Practice Address - State:PA
Practice Address - Zip Code:19446-3231
Practice Address - Country:US
Practice Address - Phone:215-855-6669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2010-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0154661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical