Healthcare Provider Details

I. General information

NPI: 1124265152
Provider Name (Legal Business Name): CLAUDIA A JOSEPH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2009
Last Update Date: 01/13/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 ANSWORTH AVE
NORTH PLAINFIELD NJ
07062-2311
US

IV. Provider business mailing address

9 ANSWORTH AVE
NORTH PLAINFIELD NJ
07062-2311
US

V. Phone/Fax

Practice location:
  • Phone: 973-676-1000
  • Fax:
Mailing address:
  • Phone: 973-676-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SC05329700
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: