Provider Demographics
NPI:1700115631
Name:FISHBEIN, JOAN MARCIA (LCSW)
Entity Type:Individual
Prefix:
First Name:JOAN
Middle Name:MARCIA
Last Name:FISHBEIN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 LAKESIDE OVERLOOK
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-2730
Mailing Address - Country:US
Mailing Address - Phone:301-279-8961
Mailing Address - Fax:
Practice Address - Street 1:8 LAKESIDE OVERLOOK
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-2730
Practice Address - Country:US
Practice Address - Phone:301-279-8961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-12-24
Last Update Date:2009-12-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040072731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical