Provider Demographics
NPI:1770943128
Name:CHANG, JOSEPH (LCSW)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:
Last Name:CHANG
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:MR
Other - First Name:JO
Other - Middle Name:SEP
Other - Last Name:CHANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:1125A VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-2338
Mailing Address - Country:US
Mailing Address - Phone:646-270-6136
Mailing Address - Fax:
Practice Address - Street 1:1125A VALLEY RD
Practice Address - Street 2:
Practice Address - City:WAYNE
Practice Address - State:NJ
Practice Address - Zip Code:07470-2338
Practice Address - Country:US
Practice Address - Phone:646-270-6136
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-27
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0889681041C0700X
NJ44SC06189001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical