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NPI Code Detail

MEDICARE: JOSEPH CLINTON BISHOP LMSW

MEDICARE:   JOSEPH CLINTON BISHOP  LMSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker6702GAL

General Provider Information

NPI Number : 1578393252
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOSEPH CLINTON BISHOP LMSW
Provider Business Mailing Address
First Line : 1353 N VALLEY AVE
Second Line :
City : COLLINSVILLE
State : AL
Zip : 35961-3300
Country : US
Telephone Number : 256-641-0413
Fax Number :
Provider Business Practice Location Address
First Line : 701B GAULT AVE N
Second Line :
City : FORT PAYNE
State : AL
Zip : 35967-2627
Country : US
Telephone Number : 256-979-1620
Fax Number : 205-263-6462
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/06/2024
Last Update Date : 08/06/2024

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Directions to “ JOSEPH CLINTON BISHOP LMSW” Practice Location

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