MEDICARE: MR. JOSEPH CHRISTOPHER PAIGE MSW, LCSW

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
1	1041C0700X	Clinical Social Worker	SW 5045	FL

General Provider Information

NPI Number	:	1144439936
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JOSEPH CHRISTOPHER PAIGE MSW, LCSW

Provider Business Mailing Address
First Line	:	7350 CANLERBURY STREET
Second Line	:
City	:	SPRING HILL
State	:	FL
Zip	:	34606
Country	:	US
Telephone Number	:	561-901-1202
Fax Number	:	561-622-8040

Provider Business Practice Location Address
First Line	:	1601 N DIXIE HWY APT 522
Second Line	:
City	:	LAKE WORTH BEACH
State	:	FL
Zip	:	33460-6674
Country	:	US
Telephone Number	:	561-901-1202
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2007
Last Update Date	:	10/17/2023

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