Provider Demographics
NPI:1720289689
Name:JOSEPH, DEBORAH W (LISW-CP AP)
Entity Type:Individual
Prefix:MRS
First Name:DEBORAH
Middle Name:W
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:LISW-CP AP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1829 GREENMORE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29407-3530
Mailing Address - Country:US
Mailing Address - Phone:843-327-6569
Mailing Address - Fax:843-571-6314
Practice Address - Street 1:1829 GREENMORE DR
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29407-3530
Practice Address - Country:US
Practice Address - Phone:843-571-0930
Practice Address - Fax:843-571-6314
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2015-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC21651041S0200X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool