Provider Demographics
NPI:1881695344
Name:BEHM, JOAN APICELLA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JOAN
Middle Name:APICELLA
Last Name:BEHM
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MISS
Other - First Name:JOAN
Other - Middle Name:ELIZABETH
Other - Last Name:APICELLA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:150 MUNDY ST
Mailing Address - Street 2:STE 4
Mailing Address - City:WILKES BARRE
Mailing Address - State:PA
Mailing Address - Zip Code:18702-6830
Mailing Address - Country:US
Mailing Address - Phone:570-717-0263
Mailing Address - Fax:570-714-1321
Practice Address - Street 1:150 MUNDY ST
Practice Address - Street 2:STE 4
Practice Address - City:WILKES BARRE
Practice Address - State:PA
Practice Address - Zip Code:18702-6830
Practice Address - Country:US
Practice Address - Phone:570-830-4206
Practice Address - Fax:570-830-4208
Is Sole Proprietor?:No
Enumeration Date:2005-08-09
Last Update Date:2019-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW-010327-L1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA036995Medicare ID - Type Unspecified