Healthcare Provider Details

I. General information

NPI: 1083207559
Provider Name (Legal Business Name): ARLENE JOSEPH LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: ARLENE JOSEPH

II. Dates (important events)

Enumeration Date: 02/16/2021
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

155 WILLOWBROOK BLVD STE 110
WAYNE NJ
07470-7033
US

IV. Provider business mailing address

25 CONDICT ST
JERSEY CITY NJ
07306-7009
US

V. Phone/Fax

Practice location:
  • Phone: 551-998-1081
  • Fax:
Mailing address:
  • Phone: 551-998-1091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberC019983
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC019983
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberSW-GTL-20-01599
License Number StateNJ
# 6
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC06449900
License Number StateNJ
# 7
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL06644500
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: